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 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.

A. Encourage the client to stop taking the medications if side effects occur. B. Explain that side effects are rare and unlikely to happen. C. Provide information about possible side effects and when to report them to the healthcare provider. D. Suggest the client take over-the-counter medications to manage any side effects.

Correct Answer is C

Explanation

A) This choice is incorrect because encouraging the client to stop taking medications without consulting the healthcare provider can be dangerous, especially after an MI. Medications prescribed after an MI are essential for managing cardiovascular risks and should not be discontinued without medical advice.

B) This choice is incorrect because it is not appropriate to downplay the potential side effects of medications. While side effects may be uncommon, it is essential to provide accurate information and address the client's concerns.

C) This choice is correct. Providing information about possible side effects and instructing the client to report any adverse reactions to the healthcare provider is essential. It empowers the client to recognize and manage potential side effects appropriately, ensuring that any concerns are addressed promptly by the healthcare team.

D) This choice is incorrect because suggesting over-the-counter medications without consulting the healthcare provider can be unsafe and may interact with prescribed medications. It is essential to address side effects with the healthcare team for appropriate management and adjustments to the medication regimen if needed.

Questions

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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 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 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?

Correct Answer is C

Explanation

A client is admitted with chest pain, and the nurse suspects angina pectoris. Which diagnostic test would the nurse expect to be ordered as an initial assessment?

A nurse is educating a group of clients about the risk factors for myocardial infarction (MI). Which risk factor is considered a non-modifiable risk factor for MI?

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 nurse is caring for a client with unstable angina and receives an order for antiplatelet therapy. Which medication should the nurse expect to administer?

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?

A client with a history of angina pectoris asks the nurse about the underlying cause of the chest pain. What should the nurse explain to the client?

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 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?