During a blood pressure screening, an older adult client tells the nurse about chest fluttering while doing yard work. The client reports no other symptoms and the frequency is intermittent
Which conclusion by the nurse is the most appropriate based on the data provided?
A) Exercise intolerance
B) Nonspecific cardiac changes with aging
C) Underlying illness that requires a medical evaluation
D) Hypothyroidism
Answer: C
New-onset atrial fibrillation and other arrhythmias may signal the onset of a serious underlying illness that requires further medical evaluation. Chest fluttering can be a sign of hyperthyroidism, not hypothyroidism. These symptoms are not normal cardiac changes. Exercise intolerance would include shortness of breath, which the client does not report.
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