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 A

Explanation

A) This choice is correct. Diaphoresis (profuse sweating) is an early sign of myocardial infarction (MI) and is caused by the activation of the sympathetic nervous system in response to the heart muscle's decreased oxygen supply. Diaphoresis is often accompanied by other symptoms such as chest pain, shortness of breath, and nausea.

B) This choice is incorrect because elevated blood pressure can occur during an acute MI, but it is not an early sign of the condition.

C) This choice is incorrect because elevated body temperature is not typically associated with an MI. It may be indicative of an infection or other inflammatory conditions.

D) This choice is incorrect because bradycardia (slow heart rate) is not an early sign of an MI. Tachycardia (rapid heart rate) is more commonly associated with an acute MI as the body attempts to compensate for the decreased cardiac output.

A. "Cardiac rehabilitation helps strengthen your heart muscle and improves blood flow to your coronary arteries." B. "It involves lifestyle changes to prevent future heart attacks and promote heart health." C. "Cardiac rehabilitation focuses on psychological counseling to help you cope with the emotional impact of an MI." D. "It is a program that includes physical exercise to improve your lung function and oxygenation."

Correct Answer is B

Explanation

A) This choice is incorrect because while cardiac rehabilitation may have cardiovascular benefits, its primary focus is on promoting overall heart health and reducing the risk of future heart attacks through lifestyle changes and education.

B) This choice is correct. Cardiac rehabilitation is a comprehensive program that aims to improve the overall cardiovascular health of individuals who have experienced a myocardial infarction or other heart conditions. It involves a combination of exercise, education, and counseling to support lifestyle changes that promote heart health and prevent future cardiovascular events.

C) This choice is incorrect because while psychological counseling may be a part of the cardiac rehabilitation program, it is not the primary purpose. The main focus is on physical and lifestyle aspects to improve cardiovascular health.

D) This choice is incorrect because cardiac rehabilitation does involve physical exercise, but the primary goal is not to improve lung function and oxygenation. Instead, it aims to improve cardiovascular endurance, strength, and overall heart health.

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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 nurse is assessing a client with suspected myocardial infarction (MI). Which clinical manifestation should the nurse prioritize as an early sign of MI?

Correct Answer is A

Explanation

A client who recently had a myocardial infarction (MI) is scheduled to start a cardiac rehabilitation program. The client asks the nurse about the purpose of this program. How should the nurse respond?

Correct Answer is B

Explanation

A client is admitted with chest pain, and the nurse suspects angina pectoris. Which diagnostic test would the nurse expect to be ordered as an initial assessment?

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 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?

A client with multiple risk factors for myocardial infarction (MI) asks the nurse how to lower the risk. What should the nurse recommend as the most effective approach?

A nurse is caring for a client experiencing chest pain and suspecting myocardial infarction (MI). What is the priority nursing intervention during the initial assessment?

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 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?