A client comes to the emergency department with chest pain, and the nurse suspects a myocardial infarction (MI). What is the priority action for the nurse?

Obtain a detailed health history from the client.

Administer aspirin as prescribed.

Perform a complete physical examination.

Place the client in a supine position.

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because obtaining a detailed health history is important, but administering aspirin is the priority action in a suspected MI. Aspirin helps to prevent further clot formation and reduces the risk of complications during a myocardial infarction.

B) This choice is correct. Administering aspirin as prescribed is the priority action in a suspected MI. Aspirin acts as an antiplatelet agent and can help to prevent the formation of blood clots that could exacerbate the blockage in the coronary artery.

C) This choice is incorrect because while performing a complete physical examination is important, administering aspirin takes precedence in a suspected MI to address the potential clot formation.

D) This choice is incorrect because placing the client in a supine position is not the priority action in a suspected MI. The client's position should be adjusted based on their comfort and ability to breathe effectively.

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Correct Answer is C

Explanation

A) This choice is incorrect because sharp, stabbing pain is not typically associated with angina pectoris. It may be more characteristic of conditions like pleuritis or musculoskeletal pain.

B) This choice is incorrect because constant, burning pain is not typical of angina pectoris. It may be associated with conditions like heartburn or gastroesophageal reflux disease (GERD).

C) This choice is correct. Angina pectoris is often described as a crushing or pressure-like pain in the chest, which can be triggered by exertion or emotional stress. The pain may also radiate to the neck, jaw, or left arm.

D) This choice is incorrect because radiating pain to the left arm is associated with both angina pectoris and myocardial infarction (MI), but it is not specific enough to differentiate between the two conditions.

A. "Cardiac rehabilitation helps strengthen your heart muscle and improves blood flow to your coronary arteries." B. "It involves lifestyle changes to prevent future heart attacks and promote heart health." C. "Cardiac rehabilitation focuses on psychological counseling to help you cope with the emotional impact of an MI." D. "It is a program that includes physical exercise to improve your lung function and oxygenation."

Correct Answer is B

Explanation

A) This choice is incorrect because while cardiac rehabilitation may have cardiovascular benefits, its primary focus is on promoting overall heart health and reducing the risk of future heart attacks through lifestyle changes and education.

B) This choice is correct. Cardiac rehabilitation is a comprehensive program that aims to improve the overall cardiovascular health of individuals who have experienced a myocardial infarction or other heart conditions. It involves a combination of exercise, education, and counseling to support lifestyle changes that promote heart health and prevent future cardiovascular events.

C) This choice is incorrect because while psychological counseling may be a part of the cardiac rehabilitation program, it is not the primary purpose. The main focus is on physical and lifestyle aspects to improve cardiovascular health.

D) This choice is incorrect because cardiac rehabilitation does involve physical exercise, but the primary goal is not to improve lung function and oxygenation. Instead, it aims to improve cardiovascular endurance, strength, and overall heart health.

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A client comes to the emergency department with chest pain, and the nurse suspects a myocardial infarction (MI). What is the priority action for the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is experiencing chest pain and seeks medical attention. The nurse asks the client about the nature of the pain. Which characteristic is most consistent with angina pectoris?

Correct Answer is C

Explanation

A client who recently had a myocardial infarction (MI) is scheduled to start a cardiac rehabilitation program. The client asks the nurse about the purpose of this program. How should the nurse respond?

Correct Answer is B

Explanation

A client is admitted with chest pain, and the nurse is assessing for clinical manifestations of myocardial infarction (MI). Which assessment finding is concerning and requires immediate action?

A client with unstable angina is prescribed heparin therapy. The client asks the nurse about the purpose of this medication. How should the nurse respond?

A client is admitted with chest pain, and the nurse is assessing for clinical manifestations of myocardial infarction (MI). Which sign is characteristic of an MI but not usually seen in stable angina?

A client with angina pectoris is receiving sublingual nitroglycerin for chest pain relief. After administering the medication, what should the nurse instruct the client to do?

A nurse is caring for a client experiencing chest pain and suspecting myocardial infarction (MI). What is the priority nursing intervention during the initial assessment?

A client with ST-elevation myocardial infarction (STEMI) is admitted to the emergency department. The healthcare provider orders fibrinolytic therapy. What is the primary purpose of fibrinolytic therapy in this situation?

A client with angina pectoris is prescribed sublingual nitroglycerin for chest pain episodes. The nurse educates the client about its administration. Which statement by the client indicates understanding of the instructions?

A client asks the nurse about the risk factors for developing angina pectoris. What should the nurse include as a modifiable risk factor for angina?