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?

Sharp, stabbing pain.

Constant, burning pain.

Crushing or pressure-like pain.

Radiating pain to the left arm.

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is C

Explanation

A: Oxygen does not directly dilate coronary arteries; medications such as nitrates are responsible for this effect.
B: While oxygen aids in metabolic processes, it does not directly affect the heart's pumping efficiency in the context of angina pectoris.
C: Oxygen therapy increases the oxygen saturation of the blood, which can help alleviate symptoms like shortness of breath and chest pain associated with angina by ensuring that the heart muscle receives sufficient oxygen to function properly.
D: Oxygen therapy is not a treatment for preventing clot formation; this is typically managed with anticoagulant medications.

A. Clopidogrel (Plavix). B. Nitroglycerin. C. Atorvastatin (Lipitor). D. Metoprolol.

Correct Answer is A

Explanation

A) This choice is correct. Clopidogrel (Plavix) is an antiplatelet medication commonly prescribed for clients with unstable angina to prevent platelet aggregation and reduce the risk of blood clot formation in coronary arteries.

B) This choice is incorrect because nitroglycerin is a vasodilator used to relieve angina symptoms, but it does not have the antiplatelet effect necessary for managing unstable angina.

C) This choice is incorrect because atorvastatin is a statin medication used to lower cholesterol levels and prevent cardiovascular events, but it does not have the antiplatelet effect required for managing unstable angina.

D) This choice is incorrect because metoprolol is a beta-blocker used to reduce heart rate and blood pressure, but it is not an antiplatelet agent like clopidogrel.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with angina pectoris reports chest pain and is receiving oxygen therapy. The client asks the nurse about the purpose of oxygen administration. How should the nurse respond?

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

A nurse is providing education to a client with angina about stress management techniques. The client asks the nurse how stress affects the heart. How should the nurse respond?

A client who recently had an MI is instructed to participate in cardiac rehabilitation. The client asks the nurse about the benefits of exercise in the program. How should the nurse respond?

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 with angina pectoris complains of chest pain after walking up a flight of stairs. What nursing action is the priority during this angina episode?

A nurse is assessing a client with suspected myocardial infarction (MI). Which assessment finding is most indicative of an acute MI?

A client who had an MI is advised to quit smoking to reduce the risk of future cardiac events. The client expresses difficulty in quitting and asks the nurse for suggestions. What should the nurse recommend?

A client is undergoing a stress test to evaluate possible myocardial ischemia. What is the primary purpose of this test?

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?