The clinic nurse is reviewing telephone messages from four clients. Which client's call should the nurse return first?

Question

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Amiodarone is an antiarrhythmic medication used to treat life-threatening arrhythmias that cannot be controlled with other medications. Amiodarone therapy is used only if other treatments have failed, as it has many toxic, adverse effects that may be severe. Pulmonary toxicity is a life-threatening adverse effect of amiodarone, which is believed to cause direct cellular damage and activation of an immune response in the lungs. Clients who develop pulmonary toxicity may report respiratory symptoms such as dry cough, pleuritic chest pain, and dyspnea. Clients with clinical manifestations of pulmonary toxicity require immediate intervention to prevent fatal, irreversible lung damage (Option D). (Option A) Albuterol is a beta-2 agonist used to treat bronchospasm that commonly causes tachycardia and tremor. Clients reporting these symptoms may require a dose adjustment or change in medication regimen. (Option B) Frequent liquid stools in a client receiving antibiotics (eg, azithromycin) may indicate development of Clostridium difficile infection, a serious gastrointestinal complication. However, possible pulmonary toxicity is the priority. (Option C) Clients taking metformin, an oral antidiabetic, who report hyperglycemia and polyuria require follow-up to evaluate medication efficacy and glycemic control. Signs of pulmonary toxicity are more urgent, however. Educational objective: Amiodarone is an antiarrhythmic medication used to treat life-threatening arrhythmias. Pulmonary toxicity is a life-threatening complication that may cause symptoms such as dry cough, pleuritic chest pain, and dyspnea. Clients taking amiodarone with signs of pulmonary toxicity require immediate follow-up.

The Clinic Nurse Is Reviewing Telephone Messages from Four Clients