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 aspirin does not directly dilate coronary arteries. Aspirin's primary action in MI management is its antiplatelet effect, which prevents platelets from clumping together and forming blood clots in coronary arteries, reducing the risk of further blockages.

B) This choice is correct. Aspirin is commonly prescribed during an acute MI to prevent blood clot formation and reduce the risk of further blockages in the coronary arteries. It is a crucial medication in the management of acute coronary syndrome.

C) This choice is incorrect because aspirin's primary action is not to lower blood pressure or improve cardiac pumping efficiency. These actions are typically achieved through other medications, such as beta-blockers or ACE inhibitors, in the management of MI.

D) This choice is incorrect because while aspirin is used to relieve pain and reduce inflammation, its primary role in MI management is its antiplatelet effect, as mentioned earlier.

A. Sharp, stabbing chest pain. B. Chest pain relieved by rest and nitroglycerin. C. Sudden, severe chest pain radiating to the back. D. Mild, intermittent chest discomfort during activity.

Correct Answer is C

Explanation

A) This choice is incorrect because sharp, stabbing chest pain is not the typical presentation of an acute MI. It is more common in conditions like pleuritis or pneumothorax.

B) This choice is incorrect because chest pain relieved by rest and nitroglycerin is more characteristic of stable angina, not an acute MI. Acute MI pain is typically not relieved by these measures.

C) This choice is correct. Sudden, severe chest pain that radiates to the back is a classic presentation of an acute myocardial infarction. The pain is often described as crushing or pressure-like and may be accompanied by other symptoms such as shortness of breath, diaphoresis, and nausea.

D) This choice is incorrect because mild, intermittent chest discomfort during activity is more typical of stable angina, not an acute MI. Acute MI pain is usually more severe, prolonged, and occurs at rest or with minimal exertion.

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

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?

Correct Answer is C

Explanation

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 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?

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 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?

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 with angina about stress management techniques. The client asks the nurse how stress affects the heart. 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 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?