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?
Administer sublingual nitroglycerin.
Assist the client to lie flat in bed.
Obtain an electrocardiogram (ECG).
Provide oxygen therapy via nasal cannula.
The Correct Answer is A
A) This choice is correct. Administering sublingual nitroglycerin is the priority action during an angina episode. Nitroglycerin acts as a vasodilator and helps relax and widen blood vessels, improving blood flow to the heart and reducing chest pain during an angina attack.
B) This choice is incorrect because assisting the client to lie flat in bed is not the priority during an angina episode. The client should be positioned in a comfortable position that allows them to breathe easily.
C) This choice is incorrect because obtaining an electrocardiogram (ECG) is important for assessing the client's cardiac status, but it is not the priority during an ongoing angina episode.
D) This choice is incorrect because providing oxygen therapy may be beneficial if the client is hypoxic, but it is not the priority during an angina episode. The priority is to administer nitroglycerin to relieve chest pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) This choice is correct. An electrocardiogram (ECG) is one of the primary diagnostic tests used to confirm the diagnosis of a myocardial infarction (MI). An ECG can show characteristic changes, such as ST-segment elevation or Q waves, indicative of myocardial ischemia and injury.
B) This choice is incorrect because an echocardiogram is a useful imaging test to assess the heart's structure and function, but it is not the primary diagnostic test for confirming an MI.
C) This choice is incorrect because a magnetic resonance imaging (MRI) is a valuable tool for assessing heart function and detecting certain cardiac abnormalities, but it is not typically the initial diagnostic test for MI.
D) This choice is incorrect because a chest X-ray can help identify other conditions like pulmonary edema or lung disorders, but it is not the primary diagnostic test for MI.
Correct Answer is A
Explanation
A) This choice is correct. Engaging in regular physical activity and maintaining a healthy weight are effective strategies for reducing the risk of MI. Physical activity helps improve cardiovascular health, manage weight, and reduce other risk factors like hypertension and diabetes.
B) This choice is incorrect because while limiting saturated fat intake is important for heart health, it is not the most effective approach to lower the risk of MI when compared to engaging in physical activity and maintaining a healthy weight.
C) This choice is incorrect because quitting smoking and reducing alcohol consumption are essential for reducing the risk of MI, but they may not be as effective as regular physical activity and weight management.
D) This choice is incorrect because controlling stress through relaxation techniques and counseling is beneficial for overall well-being, but it may not be the most effective approach to reduce the risk of MI when compared to regular physical activity and weight management. Stress management is still an important aspect of cardiovascular health, but it should be combined with other lifestyle changes for optimal risk reduction.
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