(1 point). Listen.
A nurse is teaching about unstable angina.
Which information should the nurse include? Unstable angina is considered a precursor to:.
Myocardial ischemia.
Myocardial infarction.
Acute coronary syndromes.
Pericarditis.
The Correct Answer is C
Choice A rationale:
Unstable angina is a precursor to myocardial ischemia, but it doesn't encompass the broader spectrum of acute coronary syndromes. Acute coronary syndromes include unstable angina, non-ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI). Unstable angina is a form of acute coronary syndrome but not the only precursor.
Choice B rationale:
While unstable angina is indeed a precursor to myocardial infarction, it is not the only outcome. Myocardial infarction is just one manifestation of the spectrum of acute coronary syndromes.
Choice D rationale:
Pericarditis is not typically considered a direct precursor to unstable angina. Pericarditis is inflammation of the pericardium (the sac around the heart), and its symptoms and causes differ from those of unstable angina. Although both conditions can cause chest pain, their underlying mechanisms are distinct. Now, let's proceed to the final question:
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
A male with an enlarged upper chest Enlarged upper chest in a male may suggest the development of pectoral muscles or chest-related muscular hypertrophy but is not a specific risk factor for coronary artery disease (CAD). The question is about CAD risk, and a male with an enlarged upper chest does not necessarily indicate a higher risk of CAD.
Choice B rationale:
A female with abdominal obesity Abdominal obesity, especially in females, is a significant risk factor for coronary artery disease (CAD). Excess fat around the abdomen can contribute to the development of atherosclerosis and increase the risk of CAD. This choice is correct because it highlights a well-established risk factor for CAD.
Choice C rationale:
A male with an active lifestyle Having an active lifestyle is generally associated with a reduced risk of CAD. Regular physical activity can help improve cardiovascular health, lower blood pressure, and reduce the risk of CAD. Therefore, a male with an active lifestyle is less likely to have a high risk of CAD.
Choice D rationale:
A female with menstrual problems Menstrual problems, while they can indicate hormonal imbalances or other health issues, are not directly linked to an increased risk of coronary artery disease. CAD risk factors typically revolve around lifestyle, genetics, and metabolic factors, which are not addressed by menstrual problems.
Correct Answer is A
Explanation
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.
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