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.

Answer and Explanation

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.

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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.

A. To reduce inflammation. B. To provide analgesia. C. To prevent fever. D. To prevent blood clotting.

Correct Answer is D

Explanation

Choice A reason: While aspirin does have anti-inflammatory properties, the primary reason for prescribing it post-myocardial infarction is not to reduce inflammation.

Choice B reason: Aspirin can provide pain relief, but this is not the main purpose of its prescription following a myocardial infarction.

Choice C reason: Fever prevention is not a relevant effect in the context of aspirin use for coronary artery disease.

Choice D reason: Aspirin is prescribed to prevent blood clotting. It inhibits platelet aggregation, which is crucial in reducing the risk of further heart attacks by preventing clots that can occlude coronary arteries.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The licensed practical nurse is assisting with collecting data on a female patient. Which of the following findings should be reported to the registered nurse as possible atypical symptoms of a myocardial infarction in the absence of chest pain? Select all that apply.

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?

Correct Answer is D

Explanation

The patient is being discharged on furosemide (Lasix). The nurse evaluates the patient as understanding medication teaching if the patient states that which of the following laboratory tests will be monitored as ordered?

The healthcare provider (HCP) informs the licensed practical nurse/licensed vocational nurse (LPN/LVN) that the patient has cor pulmonale. The patient asks what this means. Which explanation by the nurse is most appropriate?

A nurse is caring for a client who has bipolar disorder and states that his latest computer project is "revolutionizing the industry." Which of the following behaviors is the client exhibiting?

A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?

A newly licensed nurse is assisting with the involuntary admission of a client who has depression to an acute care mental health facility. Which of the following guidelines should the nurse follow when caring for the client?

The nurse is caring for a male patient, age 54, who had a myocardial infarction 2 days ago. His wife, who is very talkative, has remained at his bedside. Which of these interventions should the nurse implement to reduce the workload of the heart? (Select all that apply.)

Which statement is most true about bipolar disorder?