A 29-year-old women presents to the ER with chest pain that started this evening. She has experienced episodes like this before which typically occur in the evening and resolve by the next morning. The client has a medical history of migraines and Raynaud's disease.

Temp: 98 F

BP: 119/72 mm/Hg

HR: 99 bpm

RR: 16 bpm

Sp02: 96% RA

An EKG is completed and indicates no evidence of a myocardial infarction but supports the diagnosis of Prinzmetal Angina. The nurse finds the client crying stating, "I'm so young, how can my heart arteries be clogged? I eat healthy and the doctor said my cholesterol was normal." What is the nurses best response?

"This condition is caused by the coronary arteries spasming, not by cholesterol."

"Just because you're young and eat right doesn't mean you can't have plaque buildup."

"I understand it can be upsetting to have coronary artery disease at your age."

"I am sure everything will be alright."

Answer and Explanation

The Correct Answer is A

A. The best response is to educate the client about the cause of Prinzmetal angina. It occurs due to spasm in the coronary arteries, which is different from the plaque buildup seen in traditional coronary artery disease. This response addresses the client's concern in an accurate and reassuring manner.

B. While healthy eating is important, Prinzmetal angina is not typically caused by cholesterol or plaque buildup. This response could increase the client's anxiety.

C. While acknowledging the client's emotions is important, this response does not address the underlying concern or provide an accurate explanation of Prinzmetal angina.

D. Offering reassurance without providing accurate information about the condition does not help the client understand the cause of their symptoms and could leave them confused or anxious.

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Correct Answer is C

Explanation

A. Nuclear medicine scan is less commonly used for diagnosing gastric pain and dyspepsia.

B. Magnetic resonance imaging (MRI) is not the first choice for gastrointestinal issues.

C. Esophagogastroduodenoscopy (EGD) allows direct visualization of the upper GI tract, making it the most accurate diagnostic tool.

D. Abdominal arteriogram is typically used for vascular issues, not for diagnosing dyspepsia or gastric pain.

A. "This condition is caused by the coronary arteries spasming, not by cholesterol." B. "Just because you're young and eat right doesn't mean you can't have plaque buildup." C. "I understand it can be upsetting to have coronary artery disease at your age." D. "I am sure everything will be alright."

Correct Answer is A

Explanation

B. While healthy eating is important, Prinzmetal angina is not typically caused by cholesterol or plaque buildup. This response could increase the client's anxiety.

C. While acknowledging the client's emotions is important, this response does not address the underlying concern or provide an accurate explanation of Prinzmetal angina.

D. Offering reassurance without providing accurate information about the condition does not help the client understand the cause of their symptoms and could leave them confused or anxious.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has frequent gastric pain and dyspepsia. Which procedure would the nurse expect the health care provider to order to make an accurate diagnosis?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

The nurse is preparing to administer adenosine (Adenocard) to a client experiencing supraventricular tachycardia. When giving this medication, what is important to remember?

A client with genital herpes has painful blisters on her vulva. After teaching the client self-care measures, which statement indicates the need for further education?

After teaching a client who has an implantable cardioverter- defibrillator (ICD), a nurse assesses the client's understanding. Which statement by the client indicates correct understanding of the teaching?

When evaluating the effectiveness of preoperative teaching with a client scheduled for coronary artery bypass graft (CABG) surgery using the internal mammary artery, the nurse determines that additional teaching is needed when the client says which of the following?

A nurse assesses a client after administering the first dose of a nitrate. The client reports a headache. What action would the nurse take?

The new graduate nurse is assessing a client with an unrepaired abdominal aortic aneurysm. What assessment technique requires further education by the supervising nurse?