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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because a stress test is not primarily used to assess for the presence of atherosclerotic plaques. It is used to evaluate the heart's response to increased demand and identify exercise-induced changes in the ECG, which may indicate myocardial ischemia.
B) This choice is incorrect because a stress test does not measure cardiac biomarker levels in the blood. Cardiac biomarkers like troponin are typically measured through blood tests to diagnose myocardial infarction (MI).
C) This choice is correct. The primary purpose of a stress test is to evaluate the heart's response to increased demand, such as physical exercise or the administration of medication that simulates exercise. During the test, the client's heart rate, blood pressure, and ECG are monitored for signs of ischemia.
D) This choice is incorrect because a stress test is not used to visualize the coronary arteries for blockages. It is a non-invasive test primarily used to assess the heart's functional capacity.
Correct Answer is B
Explanation
A) This choice is incorrect because obtaining a detailed health history is important, but administering aspirin is the priority action in a suspected MI. Aspirin helps to prevent further clot formation and reduces the risk of complications during a myocardial infarction.
B) This choice is correct. Administering aspirin as prescribed is the priority action in a suspected MI. Aspirin acts as an antiplatelet agent and can help to prevent the formation of blood clots that could exacerbate the blockage in the coronary artery.
C) This choice is incorrect because while performing a complete physical examination is important, administering aspirin takes precedence in a suspected MI to address the potential clot formation.
D) This choice is incorrect because placing the client in a supine position is not the priority action in a suspected MI. The client's position should be adjusted based on their comfort and ability to breathe effectively.
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