A client with suspected myocardial infarction (MI) is admitted to the emergency department. The nurse asks the client about the onset and duration of chest pain. Which response should the nurse consider as indicative of an MI?

"The pain started suddenly and has lasted for 30 minutes."

"I have been experiencing chest discomfort for the past few days."

"The pain comes and goes, lasting only a few seconds at a time."

"I had a similar episode of chest pain a few months ago."

Answer and Explanation

The Correct Answer is A

A) This choice is correct. The sudden onset of chest pain lasting for 30 minutes is a typical clinical manifestation of myocardial infarction (MI). The duration and intensity of chest pain are important indicators that suggest an acute cardiac event.

B) This choice is incorrect because chest discomfort lasting for a few days may be more characteristic of unstable angina, not an MI. Unstable angina is also a serious condition that requires prompt medical attention, but it is not synonymous with MI.

C) This choice is incorrect because chest pain that comes and goes, lasting only a few seconds at a time, is not typical of an MI. Such symptoms may indicate other non-cardiac conditions or stable angina.

D) This choice is incorrect because a similar episode of chest pain a few months ago is not indicative of the current acute event. The nurse should focus on the client's current symptoms and their acute presentation to determine the appropriate interventions.

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Correct Answer is C

Explanation

A) This choice is incorrect because nuts and seeds are sources of healthy fats and can be beneficial for heart health when consumed in moderation.

B) This choice is incorrect because avocado and olive oil are sources of monounsaturated fats, which are considered heart-healthy fats. They can be included in a heart-healthy diet.

C) This choice is correct. Saturated fats, commonly found in fatty cuts of red meat and butter, are known to increase LDL cholesterol levels and should be limited in a heart-healthy diet to reduce the risk of future cardiovascular events.

D) This choice is incorrect because whole grains and legumes are sources of complex carbohydrates and plant-based proteins that can be part of a heart-healthy diet. They provide essential nutrients and fiber that are beneficial for heart health.

A. "I will swallow the tablet with water to relieve the pain quickly." B. "I should take the medication 30 minutes before a meal." C. "I will place the tablet under my tongue when chest pain starts." D. "I can take the nitroglycerin every day to prevent chest pain."

Correct Answer is C

Explanation

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.

Questions

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A client with suspected myocardial infarction (MI) is admitted to the emergency department. The nurse asks the client about the onset and duration of chest pain. Which response should the nurse consider as indicative of an MI?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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?

Correct Answer is C

Explanation

A client is undergoing a stress test to evaluate possible myocardial ischemia. What is the primary purpose of this test?

A client with suspected myocardial infarction (MI) is admitted to the emergency department. The nurse asks the client about the onset and duration of chest pain. Which response should the nurse consider as indicative of an MI?

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 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 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?

A client who had an MI is advised to quit smoking to reduce the risk of future cardiac events. The client expresses difficulty in quitting and asks the nurse for suggestions. What should the nurse recommend?

A client who had an acute myocardial infarction (MI) is scheduled for percutaneous coronary intervention (PCI). The client asks the nurse about the purpose of this procedure. How should the nurse respond?