(1 point). Listen.
Which assessment finding is typical for a patient with stable angina?
Chest pain that is relieved by rest.
Chest pain that lasts more than a few hours.
Chest pain not relieved by nitroglycerin.
Chest pain that occurs unpredictably.
The Correct Answer is A
Choice A rationale:
Stable angina is characterized by chest pain or discomfort that occurs with exertion or stress and is relieved by rest. This type of angina is typically predictable and reproducible. The rationale for this choice is based on the classic presentation of stable angina, where pain is often triggered by physical activity or emotional stress and is relieved by rest. It is related to coronary artery disease (CAD) and is caused by temporary reduction in blood flow to the heart muscle due to narrowed or blocked coronary arteries. The pain is often described as a pressure or squeezing sensation in the chest and is usually predictable, occurring during specific activities or under certain circumstances.
Choice B rationale:
Chest pain that lasts more than a few hours is not typical for stable angina. Angina is characterized by transient episodes of chest pain or discomfort, typically lasting for a few minutes (usually 5-10 minutes). Prolonged chest pain may indicate a different cardiac or non-cardiac condition that requires further evaluation.
Choice C rationale:
Chest pain not relieved by nitroglycerin is not typical for stable angina. Nitroglycerin is a medication commonly used to relieve the symptoms of angina. If chest pain persists despite nitroglycerin administration, it may suggest unstable angina or another cardiac condition that requires immediate medical attention.
Choice D rationale:
Chest pain that occurs unpredictably is not typical for stable angina. Stable angina is characterized by chest pain that is predictable and reproducible, often occurring during specific activities or under certain conditions. Unpredictable chest pain is more indicative of unstable angina or acute coronary syndromes, which are associated with a higher risk of myocardial infarction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Pericardial rub A pericardial rub is a clinical finding where a healthcare provider can hear a grating or scratching sound when listening to the heart using a stethoscope. It is a sign of inflammation of the pericardium (pericarditis) but is not necessarily associated with the rapid collection of fluid in the pericardial sac. Pericardial rub is more indicative of inflammation and not fluid accumulation.
Choice B rationale:
Pericardial effusion Pericardial effusion is the abnormal accumulation of fluid in the pericardial sac surrounding the heart. If the fluid accumulates rapidly, it can lead to cardiac tamponade, a life-threatening condition where the heart's ability to pump blood is compromised. The nurse should observe for signs and symptoms of pericardial effusion and its complications in the patient's chart when rapid fluid collection is suspected.
Choice C rationale:
Cardiomyopathy Cardiomyopathy is a condition characterized by abnormal heart muscle function. It can lead to heart failure and other cardiac issues, but it is not directly related to the rapid collection of fluid in the pericardial sac. The question specifically focuses on a condition resulting from the rapid accumulation of fluid in the pericardial sac.
Choice D rationale:
Constrictive pericarditis Constrictive pericarditis is a condition in which the pericardium becomes thickened and rigid, restricting the heart's ability to expand and fill with blood. It is a chronic condition and not typically associated with a rapid collection of fluid in the pericardial sac. Rapid fluid accumulation leading to tamponade is more indicative of pericardial effusion, which is the correct answer.
Correct Answer is B
Explanation
Choice A rationale:
Subendocardial MI typically involves the inner layer of the heart muscle and may not result in marked ST segment elevation. This is not the best choice.
Choice B rationale:
Transmural MI, also known as a full-thickness or ST-elevation myocardial infarction (STEMI), is characterized by marked ST segment elevation on the ECG. This is the correct choice because it accurately describes the scenario in the question.
Choice C rationale:
"Cardial" is not a recognized term in the context of myocardial infarctions. This choice is not appropriate.
Choice D rationale:
"Transient" does not describe the type of MI but rather suggests a temporary or reversible condition. It is not the best choice.
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