A client is admitted into the Cardiac ICU unit with a diagnosis of chronic stable angina. The nurse should teach the client that the most common characteristic of stable angina pain is that?

It is pain that can be relieved with rest

It is normal pain that will go away on its own on

It is pain that is not relieved by taking nitroglycerin

It is pain that requires a cardiac catheterization

Answer and Explanation

The Correct Answer is A

A) It is pain that can be relieved with rest:
Stable angina is typically predictable and occurs during physical exertion or emotional stress when the heart’s oxygen demand exceeds its supply. The pain associated with stable angina usually resolves with rest or after the cessation of the activity that triggered it. Additionally, nitroglycerin can help alleviate the discomfort by dilating blood vessels and improving blood flow to the heart muscle.

B) It is normal pain that will go away on its own:
Although stable angina pain may resolve on its own when the precipitating factor (e.g., exercise or stress) is removed, it is not considered "normal" pain. The pain is a symptom of underlying coronary artery disease (CAD), indicating that the heart muscle is not getting enough oxygen. It’s important for the client to manage angina carefully, as it may progress to more serious forms, such as unstable angina or myocardial infarction (heart attack), if not addressed appropriately.

C) It is pain that is not relieved by taking nitroglycerin:
Nitroglycerin is commonly effective in relieving stable angina by relaxing the coronary arteries and improving blood flow to the heart. If a client’s angina is not relieved by nitroglycerin, it may indicate that the angina is no longer stable (i.e., it has become unstable angina) or that a more serious cardiovascular event is occurring, such as a heart attack.

D) It is pain that requires a cardiac catheterization:
Cardiac catheterization is a diagnostic and interventional procedure typically used when a patient has unstable angina or a history of myocardial infarction or when other treatments have failed. However, stable angina usually does not require immediate catheterization unless the pain is refractory or there is evidence of significant coronary artery blockage. The most common management for stable angina is lifestyle modifications, medications (e.g., nitroglycerin, beta-blockers, calcium channel blockers), and addressing risk factors for coronary artery disease.

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Correct Answer is C

Explanation

A) Improved bladder function:
Diphenhydramine, an antihistamine, has anticholinergic properties, meaning it blocks acetylcholine, which can cause side effects like urinary retention and dry mouth. While it may increase urinary retention, it is not primarily used to treat bladder function issues in Parkinson's disease.

B) Relief of depression:
Diphenhydramine is not prescribed for the treatment of depression in Parkinson's disease. It is an antihistamine used to treat allergic reactions and motion sickness, and sometimes for its anticholinergic effects in Parkinson's disease. While it may cause sedation, it does not address the neurochemical imbalances in the brain that cause depression, which is often treated with antidepressants such as SSRIs or SNRIs.

C) Decreased tremors:
Diphenhydramine has anticholinergic properties, which can help reduce tremors in patients with Parkinson's disease. Parkinson's disease is associated with a dopamine deficit, but acetylcholine also plays a role in motor control. The use of anticholinergic medications, such as diphenhydramine, can help restore balance between dopamine and acetylcholine in the brain, leading to decreased tremors.

D) Delay in disease progression:
There is no evidence that diphenhydramine can delay the progression of Parkinson's disease. The disease is caused by the degeneration of dopamine-producing neurons in the brain, and current treatments, such as levodopa/carbidopa or dopamine agonists, primarily aim to manage symptoms rather than prevent progression.

A. Intense pruritus is noted during assessment of the moles B. Purulent drainage is coming out of the moles C. A healed sore is noted upon assessment D. The moles is larger than 6mm

Correct Answer is D

Explanation

A. Intense pruritus (itching) noted during the assessment of the moles: While intense itching can be associated with skin changes and should be monitored, it is not a definitive sign of malignancy. However, it can be an early indicator that warrants further investigation, especially if accompanied by other changes in the mole.

B. Purulent drainage coming out of the moles: Purulent drainage typically indicates an infection rather than malignancy. While infections are serious and require treatment, they are not usually linked to skin cancer. This finding should prompt further assessment and appropriate wound care.

C. A healed sore noted upon assessment: A healed sore generally indicates that the area has resolved and is not immediately concerning. However, a non-healing or recurrent sore could be a sign of skin cancer and would need further evaluation by a healthcare provider.

D. The mole is larger than 6mm: A mole larger than 6mm is a significant indicator for potential malignancy, as size is one of the criteria in the ABCDE rule (Asymmetry, Border, Color, Diameter, Evolving) used for identifying melanoma. Larger moles warrant further examination to rule out skin cancer.

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A client is admitted into the Cardiac ICU unit with a diagnosis of chronic stable angina. The nurse should teach the client that the most common characteristic of stable angina pain is that?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has Parkinson's disease and is taking diphenhydramine 25 mg PO TID. Which of the following therapeutic outcomes should the nurse expect to see?

Correct Answer is C

Explanation

A nurse assesses a client who presents to the provider's office to evaluate multiple nevi. Which finding should the nurse identify to the provider as possible sign of malignancy?

Correct Answer is D

Explanation

A client is admitted into the Cardiac ICU unit with a diagnosis of chronic stable angina. The nurse should teach the client that the most common characteristic of stable angina pain is that?

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