A nurse is reinforcing teaching with a client who has a new diagnosis of angina pectoris. Which of the following information about anginal pain should the nurse include in the teaching?
The pain worsens with deep inspiration.
The pain persists with rest and organic nitrates.
Exertion and anxiety can trigger the pain.
The pain usually lasts more than 20 minutes.
The Correct Answer is C
Choice A reason: Anginal pain typically does not worsen with deep inspiration; this is more characteristic of pleuritic chest pain.
Choice B reason: Anginal pain usually does not persist with rest and organic nitrates; these interventions are typically used to alleviate angina.
Choice C reason: Exertion and anxiety increase the heart's demand for oxygen, which can trigger anginal pain due to reduced blood flow in narrowed coronary arteries.
Choice D reason: Anginal pain typically lasts for a short time, usually less than 20 minutes. If the pain lasts longer, it may indicate a more serious condition like a myocardial infarction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Cyclothymic disorder involves periods of hypomanic symptoms, but not continuously for 2 years.
Choice B reason: Cyclothymic disorder is not a one-time event; it involves multiple episodes of hypomanic and depressive symptoms.
Choice C reason: While chronic depression can be a part of cyclothymic disorder, it alone does not define it.
Choice D reason: Cyclothymic disorder is characterized by at least 2 years of numerous periods of hypomanic symptoms and depressive symptoms.
Correct Answer is ["A","B","C","D","E","F"]
Explanation
Choice A reason: Sweating can be an atypical symptom of a myocardial infarction, especially if it is sudden and occurs without exertion.
Choice B reason: Fatigue, particularly if it is new or unexplained, can be a sign of a myocardial infarction.
Choice C reason: Shortness of breath without chest pain can also be an atypical presentation of a myocardial infarction.
Choice D reason: Dizziness, especially if associated with other symptoms, can indicate a myocardial infarction.
Choice E reason: Nausea is another atypical symptom that can occur with a myocardial infarction.
Choice F reason: Pain between the shoulder blades can be an atypical symptom of a myocardial infarction.
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