A client in an urgent care clinic states "My heart feels like it is skipping beats every now and then." A 12-lead electrocardiogram (ECG) shows a extra P-wave. The nurse should understand that this ECG finding represents which of the following conditions?

Atrial fibrillation

Atrial flutter

Premature atrial contractions

Stable angina

Answer and Explanation

The Correct Answer is C

A. Atrial fibrillation is characterized by an irregularly irregular rhythm and absence of distinct P-waves.
B. Atrial flutter typically presents with "saw-tooth" flutter waves rather than extra P-waves.
C. Premature atrial contractions (PACs) are identified by the presence of extra P-waves on an ECG.
D. Stable angina is related to chest pain and does not have specific ECG findings such as extra P-waves.

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Correct Answer is D

Explanation

A. The correct timing for taking a second nitroglycerin tablet is after 5 minutes if the first one does not relieve chest pain, not 10 minutes.
B. Nitroglycerin tablets should generally be replaced every 6 months to ensure potency, not 3 months.
C. Tingling of the tongue is a common side effect of nitroglycerin and does not require discontinuation of the medication or medical attention.
D. Nitroglycerin can cause orthostatic hypotension, so clients should change positions slowly to prevent dizziness or fainting.

A. To reduce LDL cholesterol and triglycerides to prevent additional plaques, B. To prevent platelet aggregation in order to prevent thrombus formation. C. To relieve acute episodes of angina when they occur. D. To decrease blood pressure and reduce the workload of the heart.

Correct Answer is D

Explanation

A. Lisinopril is not used to reduce LDL cholesterol and triglycerides; statins are used for that purpose.
B. Lisinopril does not prevent platelet aggregation; antiplatelet agents like aspirin are used for that purpose.
C. Lisinopril is not used to relieve acute angina; nitrates like nitroglycerin are used for that purpose.
D. Lisinopril is an ACE inhibitor that helps decrease blood pressure and reduce the workload on the heart, which is beneficial in managing chronic stable angina.

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A client in an urgent care clinic states "My heart feels like it is skipping beats every now and then." A 12-lead electrocardiogram (ECG) shows a extra P-wave. The nurse should understand that this ECG finding represents which of the following conditions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been diagnosed with chronic stable angina and has a new prescription for nitroglycerin tablets. Which statement about this medication should the nurse include in the patient education?

Correct Answer is D

Explanation

A client who has been diagnosed with chronic stable angina is placed on multiple medications to manage the condition. The nurse understands that the client is receiving lisinopril for which reason?

Correct Answer is D

Explanation

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following statements made by the client requires the nurse to provide correction and additional teaching?

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