(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 C
Explanation
Choice A rationale:
Labeling hyperhomocysteinemia as a traditional risk factor is not accurate. This statement is incorrect. Hyperhomocysteinemia is not typically considered a traditional risk factor for coronary artery disease (CAD). Traditional risk factors include factors such as smoking, hypertension, high cholesterol, and diabetes.
Choice B rationale:
Labeling hyperhomocysteinemia as a major risk factor is not common. This statement is incorrect. While elevated homocysteine levels are associated with an increased risk of CAD, it is not typically considered a major risk factor. Major risk factors for CAD usually include factors like smoking, high blood pressure, and high cholesterol.
Choice C rationale:
Labeling hyperhomocysteinemia as a novel risk factor is appropriate. This statement is correct. Hyperhomocysteinemia is considered a novel or emerging risk factor for CAD. Elevated homocysteine levels have been associated with an increased risk of CAD, and it is an area of ongoing research and investigation.
Choice D rationale:
Labeling hyperhomocysteinemia as a conventional risk factor is not accurate. This statement is incorrect. Hyperhomocysteinemia is not considered a conventional risk factor for CAD. Conventional risk factors are well-established and widely recognized risk factors for a particular condition.
Correct Answer is C
Explanation
Choice A rationale:
Infective endocarditis is most often caused by bacteria. This condition occurs when bacteria enter the bloodstream and adhere to the inner lining of the heart's chambers or valves, leading to infection. Viruses, fungi, and autoimmunity can also cause endocarditis, but bacterial endocarditis is the most common and typical form.
Choice B rationale:
While viruses can cause infective endocarditis, they are not the most common cause. Bacterial endocarditis is far more prevalent and frequently encountered in clinical practice.
Choice D rationale:
Fungi can cause endocarditis, but it is less common compared to bacterial endocarditis. Fungal endocarditis often occurs in individuals with compromised immune systems.
Choice E rationale:
Autoimmunity is not a primary cause of infective endocarditis. Autoimmune diseases may lead to various cardiac conditions, but they are not the primary etiology of infective endocarditis.
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