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 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. "Coronary angiography will measure the levels of cardiac biomarkers in your blood." B. "It is a stress test that evaluates your heart's response to increased demand." C. "The test involves injecting dye into your coronary arteries to visualize any blockages." D. "Coronary angiography will assess your heart's function using sound waves."

Correct Answer is C

Explanation

A) This choice is incorrect because measuring the levels of cardiac biomarkers in the blood is not the purpose of coronary angiography. Cardiac biomarkers are measured through blood tests to diagnose conditions like myocardial infarction (MI).

B) This choice is incorrect because a stress test evaluates the heart's response to increased demand and is different from coronary angiography.

C) This choice is correct. Coronary angiography is an invasive procedure that involves injecting a contrast dye into the coronary arteries. The dye allows visualization of the coronary arteries and identifies any blockages or narrowing that may be causing angina or other cardiac symptoms.

D) This choice is incorrect because assessing the heart's function using sound waves is characteristic of an echocardiogram, not coronary angiography.

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 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 client with suspected angina pectoris is scheduled for a coronary angiography. The client asks the nurse about the purpose of the test. How should the nurse respond?

Correct Answer is C

Explanation

A client with unstable angina is prescribed heparin therapy. The client asks the nurse about the purpose of this medication. How should the nurse respond?

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 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 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 is admitted with chest pain, and the nurse is assessing for clinical manifestations of myocardial infarction (MI). Which assessment finding is concerning and requires immediate action?

A client who recently had an MI is instructed to participate in cardiac rehabilitation. The client asks the nurse about the benefits of exercise in the program. How should the nurse respond?

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