A client is experiencing chest pain that subsides with rest and nitroglycerin administration. The nurse suspects angina pectoris. What type of angina does this presentation most likely indicate?

Stable angina.

Unstable angina.

Variant (Prinzmetal) angina.

Microvascular angina.

Answer and Explanation

The Correct Answer is A

A) This choice is correct. Stable angina is typically predictable and occurs with exertion or emotional stress. It subsides with rest and nitroglycerin use. The pain is usually relieved within a few minutes after rest or medication administration.

B) This choice is incorrect because unstable angina is characterized by chest pain that occurs at rest or with minimal exertion and is more severe and prolonged than stable angina. It may indicate an impending myocardial infarction and requires immediate medical attention.

C) This choice is incorrect because variant (Prinzmetal) angina is caused by coronary artery vasospasm, which leads to chest pain even at rest. It is not typically relieved by rest and nitroglycerin, but rather by calcium channel blockers or nitrate medications.

D) This choice is incorrect because microvascular angina is characterized by chest pain caused by abnormalities in the small blood vessels in the heart. It may not always be relieved by nitroglycerin, and it is not the most likely diagnosis in this presentation.

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Correct Answer is B

Explanation

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.

A. "The chest pain is caused by an irregular heart rhythm." B. "The coronary arteries are narrowed, reducing blood flow to the heart muscle." C. "There is inflammation in the lining of the heart, leading to chest discomfort." D. "The heart muscle is overworking, causing temporary oxygen deprivation."

Correct Answer is B

Explanation

A) This choice is incorrect because chest pain caused by an irregular heart rhythm is more characteristic of arrhythmias, not angina pectoris.

B) This choice is correct. Angina pectoris is caused by the narrowing of the coronary arteries due to atherosclerotic plaques, leading to reduced blood flow to the heart muscle during periods of increased demand (e.g., physical exertion, stress).

C) This choice is incorrect because inflammation in the lining of the heart is associated with conditions like pericarditis or myocarditis, not angina pectoris.

D) This choice is incorrect because chest pain caused by the heart muscle overworking is more typical of conditions like heart failure, not angina pectoris.

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A client is experiencing chest pain that subsides with rest and nitroglycerin administration. The nurse suspects angina pectoris. What type of angina does this presentation most likely indicate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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?

Correct Answer is B

Explanation

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

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 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?

A client with angina pectoris is prescribed sublingual nitroglycerin for chest pain episodes. The nurse educates the client about its administration. Which statement by the client indicates understanding of the instructions?

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?

A client with acute myocardial infarction (MI) is prescribed aspirin. The client asks the nurse about the purpose of this medication. How should the nurse respond?

A nurse is caring for a client with a confirmed myocardial infarction (MI) and a history of congestive heart failure (CHF). The client is prescribed a medication to reduce myocardial oxygen demand. Which medication should the nurse expect to administer?

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?