Which information would the nurse include when discussing pain due to chronic stable angina with the patient?
Occurs with both activity and rest.
Generally lasts 10-15 minutes or more.
Does not subside when the precipitating factor is resolved.
Occurs intermittently over a period of time in a similar pattern.
The Correct Answer is D
Choice A rationale:
Chronic stable angina typically occurs with activity and is relieved with rest or nitroglycerin. Therefore, this statement is incorrect for chronic stable angina.
Choice B rationale:
Chronic stable angina usually lasts for a short duration, usually around 5 minutes, and is relieved with rest or nitroglycerin. Prolonged pain lasting 10-15 minutes or more could indicate an unstable angina or myocardial infarction. This choice is incorrect for chronic stable angina.
Choice C rationale:
Pain due to chronic stable angina subsides when the precipitating factor, such as physical exertion, is resolved or with medication like nitroglycerin. Therefore, this statement is incorrect for chronic stable angina.
Choice D rationale:
Chronic stable angina follows a predictable pattern, occurring intermittently over a period of time, and is usually triggered by physical exertion or emotional stress. This option correctly describes the characteristic pattern of chronic stable angina.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","B"]
Explanation
Choice A rationale:
Anemia is not a direct manifestation of target organ damage from hypertension.
Choice B rationale:
Aneurysm is a correct answer. Persistent high blood pressure can weaken the walls of arteries, making them more susceptible to forming an aneurysm. Aneurysms can occur in various arteries, such as the aorta, and can lead to life-threatening complications if they rupture.
Choice C rationale:
Proteinuria is also a correct answer. Hypertension can damage the kidneys, leading to proteinuria, the presence of excess proteins in the urine. This is an indication of kidney damage and is a common manifestation of hypertensive target organ disease.
Choice D rationale:
Pneumonia and Transient Ischemic Attack (TIA) are not direct manifestations of target organ damage from hypertension.
Correct Answer is C
Explanation
Choice A rationale:
Silent ischemia refers to a lack of oxygen to the heart that doesn't cause symptoms like chest pain. It is often diagnosed during an electrocardiogram (ECG) done for other reasons. The patient in this scenario is experiencing chest pain, so silent ischemia is not the correct choice.
Choice B rationale:
Angina decubitus refers to chest pain that occurs while lying down and is relieved by standing or sitting. The patient in this scenario is experiencing chest pain at rest, which is not characteristic of angina decubitus.
Choice D rationale:
Chronic stable angina is chest pain or discomfort that typically occurs with activity or stress and is relieved by rest or nitroglycerin. The patient in this scenario is experiencing chest pain at rest, which is not characteristic of chronic stable angina.
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