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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A) This choice is incorrect because while rest is essential during an angina episode, lying down in bed for an extended period is not necessary after administering nitroglycerin.

B) This choice is incorrect because monitoring blood pressure and heart rate every 15 minutes is not a standard nursing intervention after nitroglycerin administration. Monitoring vital signs as needed for the client's condition is appropriate.

C) This choice is incorrect because there is no need for the client to avoid drinking water or fluids after taking sublingual nitroglycerin.

D) This choice is correct. After taking sublingual nitroglycerin for chest pain relief, the client should sit or lie down and avoid sudden position changes. Nitroglycerin can cause systemic vasodilation and may lead to orthostatic hypotension, increasing the risk of dizziness or falls if the client stands up abruptly. Taking a seated or lying position reduces this risk and allows the medication to work effectively to relieve chest pain.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with angina pectoris is receiving sublingual nitroglycerin for chest pain relief. After administering the medication, what should the nurse instruct the client to do?

Correct Answer is D

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 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 angina pectoris is prescribed sublingual nitroglycerin tablets. What instructions should the nurse provide about taking nitroglycerin?

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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?

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 providing education to a client who recently had an MI about dietary changes to improve heart health. The nurse advises the client to limit intake of saturated fats. Which food choices should the client avoid to comply with this recommendation?

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?