Which patient statement would help the nurse confirm the previous diagnosis of chronic stable angina?.
"The pain is level 3 to 5 (0 to 10 scale).”.
"The pain has gotten worse over the last week.”.
"The pain wakes me up at night.”.
"The pain goes away with a nitroglycerin tablet.”. .
The Correct Answer is D
Choice A rationale:
The pain level of 3 to 5 on a scale of 0 to 10 does not specifically indicate chronic stable angina.
Choice B rationale:
Pain that has worsened over the last week could indicate a number of conditions, not specifically chronic stable angina.
Choice C rationale:
Pain that wakes a patient up at night could be a sign of a number of conditions, not specifically chronic stable angina.
Choice D rationale:
Chronic stable angina is characterized by chest pain that is relieved by rest or nitroglycerin. Therefore, if the patient’s pain goes away with a nitroglycerin tablet, it would help confirm a diagnosis of chronic stable angina.
So, the correct answer is Choice D, after analyzing all choices.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Checking the pulse rate before taking nitroglycerin is not necessary.
Choice B rationale:
Sitting down before taking nitroglycerin can prevent dizziness and fainting, which are potential side effects of nitroglycerin.
Choice C rationale:
There is no need to remove the nitroglycerin patch before taking sublingual nitroglycerin.
Choice D rationale:
The nitroglycerin patch should not be used to treat acute chest pain.
So, the correct answer is B, after analyzing all choices.
Correct Answer is ["B","C","D","F"]
Explanation
Choice A rationale:
The client’s temperature decreased from 37.6°C to 36.8°C1. This is within the normal body temperature range of 36.5°C to 37.2°C2, so it does not require further action.
Choice B rationale:
The client’s oxygen saturation decreased from 95% to 88%1. Normal pulse oximetry values are typically above 95%2. This decrease could indicate that the client is not getting enough oxygen, which requires further action.
Choice C rationale:
The client’s blood pressure increased from 108/50 mm Hg to 138/80 mm Hg. Normal blood pressure for adults is below 120/80 mm Hg. This increase could indicate worsening heart failure, which requires further action.
Choice D rationale:
The client’s weight increased from 80 kg to 82.1 kg. Rapid weight gain may be a sign of fluid retention, a common symptom of heart failure. This requires further action.
Choice E rationale:
The client’s urine output decreased from 480 mL/8 hr to 320 mL/8 hr.However it is still above 30ml/hr signifying normal renal function
Choice F rationale:
On Day 4, the client’s breath sounds were scattered, and crackles were heard bilaterally. This could indicate fluid accumulation in the lungs, a common symptom of heart failure. This requires further action.
So, the correct answer is Choices B, C, D, and F, after analyzing all choices.
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