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?

"I will swallow the tablet with water to relieve the pain quickly."

"I should take the medication 30 minutes before a meal."

"I will place the tablet under my tongue when chest pain starts."

"I can take the nitroglycerin every day to prevent chest pain."

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because sublingual nitroglycerin should not be swallowed with water. It is intended to dissolve under the tongue for rapid absorption into the bloodstream to provide quick relief from chest pain.

B) This choice is incorrect because the timing of nitroglycerin administration is not dependent on meals. Sublingual nitroglycerin should be taken as needed when chest pain occurs.

C) This choice is correct. Sublingual nitroglycerin is administered by placing the tablet under the tongue, where it dissolves and is absorbed directly into the bloodstream. This method allows for rapid onset of action and is used to relieve acute chest pain.

D) This choice is incorrect because sublingual nitroglycerin is not meant for daily or preventive use. It is specifically used to treat acute episodes of chest pain (angina) and should be taken only when needed. Clients with angina may be prescribed long-acting nitroglycerin preparations for prophylactic use, but sublingual nitroglycerin is intended for immediate relief of anginal symptoms.

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Correct Answer is C

Explanation

A) This choice is incorrect because a family history of coronary artery disease is a non-modifiable risk factor for angina pectoris. It increases the client's risk but cannot be altered through lifestyle changes.

B) This choice is incorrect because age over 65 years old is a non-modifiable risk factor for angina pectoris. While the risk of angina increases with age, it cannot be changed through lifestyle modifications.

C) This choice is correct. Hypertension (high blood pressure) is a modifiable risk factor for angina. Managing blood pressure through lifestyle changes, medications, and other interventions can help reduce the risk of developing angina and other cardiovascular diseases.

D) This choice is incorrect because gender (male) is a non-modifiable risk factor for angina pectoris. While men are generally at higher risk for angina than premenopausal women, gender cannot be changed to alter the risk.

A. Electrocardiogram (ECG). B. Echocardiogram. C. Magnetic Resonance Imaging (MRI). D. Chest X-ray.

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks the nurse about the risk factors for developing angina pectoris. What should the nurse include as a modifiable risk factor for angina?

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

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

A nurse is providing education to a client with angina pectoris. What is the nurse's priority teaching point about managing angina episodes?

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?

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?

A nurse is caring for a client admitted with myocardial infarction (MI). The client's blood pressure drops, and the client becomes restless and anxious. What intervention should the nurse initiate first?

A client with angina pectoris is prescribed ranolazine (Ranexa) as an anti-anginal medication. What is the primary action of ranolazine in managing angina?

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?