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?

Pain relieved by rest and nitroglycerin.

Diaphoresis and nausea.

Chest pain triggered by emotional stress.

Shortness of breath and wheezing.

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because chest pain relieved by rest and nitroglycerin is characteristic of stable angina, not an MI. Stable angina is triggered by physical exertion or emotional stress and is usually relieved by rest and nitroglycerin use.

B) This choice is correct. Diaphoresis (profuse sweating) and nausea are clinical manifestations commonly associated with an MI but not usually seen in stable angina. These symptoms are a result of the sympathetic nervous system's response to the heart muscle's decreased oxygen supply during an MI.

C) This choice is incorrect because chest pain triggered by emotional stress is characteristic of stable angina, not an MI. Emotional stress can cause vasospasms in the coronary arteries, leading to angina episodes.

D) This choice is incorrect because shortness of breath and wheezing may occur in both stable angina and MI, especially if the heart's pumping ability is compromised. These symptoms are not specific to MI and can also be seen in other cardiac and respiratory conditions.

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Correct Answer is D

Explanation

A) This choice is incorrect because inserting a stent is a part of percutaneous coronary intervention (PCI) and not coronary artery bypass grafting (CABG). CABG involves using blood vessels (grafts) to bypass blocked coronary arteries and restore blood flow to the heart.

B) This choice is incorrect because removing plaque from coronary arteries is not the primary purpose of CABG. CABG involves bypassing blocked arteries rather than removing the plaque.

C) This choice is incorrect because repairing damaged heart valves and improving cardiac function is a different surgical procedure, such as valve repair or replacement surgery. CABG does not address heart valve issues.

D) This choice is correct. Coronary artery bypass grafting (CABG) is a surgical procedure that involves taking a healthy blood vessel from another part of the body and grafting it to the blocked coronary artery. The graft bypasses the blockage, restoring blood flow to the heart and improving myocardial oxygen supply. CABG is used to treat significant coronary artery disease and improve cardiac function in clients with unstable angina or myocardial infarction.

A. Nuts and seeds. B. Avocado and olive oil. C. Fatty cuts of red meat and butter. D. Whole grains and legumes.

Correct Answer is C

Explanation

A) This choice is incorrect because nuts and seeds are sources of healthy fats and can be beneficial for heart health when consumed in moderation.

B) This choice is incorrect because avocado and olive oil are sources of monounsaturated fats, which are considered heart-healthy fats. They can be included in a heart-healthy diet.

C) This choice is correct. Saturated fats, commonly found in fatty cuts of red meat and butter, are known to increase LDL cholesterol levels and should be limited in a heart-healthy diet to reduce the risk of future cardiovascular events.

D) This choice is incorrect because whole grains and legumes are sources of complex carbohydrates and plant-based proteins that can be part of a heart-healthy diet. They provide essential nutrients and fiber that are beneficial for heart health.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with unstable angina is scheduled for coronary artery bypass grafting (CABG). The client asks the nurse about the purpose of this surgery. How should the nurse respond?

Correct Answer is D

Explanation

A nurse is providing education to a client who recently had an MI about dietary changes to improve heart health. The nurse advises the client to limit intake of saturated fats. Which food choices should the client avoid to comply with this recommendation?

Correct Answer is C

Explanation

A client with multiple risk factors for myocardial infarction (MI) asks the nurse how to lower the risk. What should the nurse recommend as the most effective approach?

A nurse is providing education to a client who recently had an MI about the importance of medication adherence. The client expresses concerns about potential side effects of the prescribed medications. What should the nurse do to address the client's concerns effectively?

A client who had an acute myocardial infarction (MI) is scheduled for percutaneous coronary intervention (PCI). The client asks the nurse about the purpose of this procedure. How should the nurse respond?

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 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 nurse is teaching a client about the pathophysiology of myocardial infarction (MI). What is the primary cause of MI?

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?

A client presents to the emergency department with chest pain and is suspected of having a myocardial infarction (MI). The client asks the nurse about the diagnostic test used to confirm the diagnosis. Which test should the nurse mention?