A nurse is caring for a client with a confirmed myocardial infarction (MI) and a history of congestive heart failure (CHF). The client is prescribed a medication to reduce myocardial oxygen demand. Which medication should the nurse expect to administer?

Furosemide.

Metoprolol.

Aspirin.

Nitroglycerin.

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because furosemide is a loop diuretic used to treat fluid retention and edema in clients with congestive heart failure (CHF), but it does not directly reduce myocardial oxygen demand.

B) This choice is correct. Metoprolol is a beta-blocker that reduces heart rate and blood pressure, resulting in decreased myocardial oxygen demand. It is often prescribed to clients with an MI and a history of CHF to improve cardiac function and reduce the workload on the heart.

C) This choice is incorrect because aspirin is an antiplatelet medication that prevents further clot formation and is commonly prescribed in clients with acute coronary syndrome, including MI. While it is beneficial in the context of MI management, it does not directly reduce myocardial oxygen demand.

D) This choice is incorrect because nitroglycerin is a vasodilator used to relieve chest pain (angina) by dilating blood vessels and increasing blood flow to the heart muscle. While it helps reduce anginal symptoms, it does not directly reduce myocardial oxygen demand as metoprolol does.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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.

A. "The chest pain is caused by an irregular heart rhythm." B. "The coronary arteries are narrowed, reducing blood flow to the heart muscle." C. "There is inflammation in the lining of the heart, leading to chest discomfort." D. "The heart muscle is overworking, causing temporary oxygen deprivation."

Correct Answer is B

Explanation

A) This choice is incorrect because chest pain caused by an irregular heart rhythm is more characteristic of arrhythmias, not angina pectoris.

B) This choice is correct. Angina pectoris is caused by the narrowing of the coronary arteries due to atherosclerotic plaques, leading to reduced blood flow to the heart muscle during periods of increased demand (e.g., physical exertion, stress).

C) This choice is incorrect because inflammation in the lining of the heart is associated with conditions like pericarditis or myocarditis, not angina pectoris.

D) This choice is incorrect because chest pain caused by the heart muscle overworking is more typical of conditions like heart failure, not angina pectoris.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client with a confirmed myocardial infarction (MI) and a history of congestive heart failure (CHF). The client is prescribed a medication to reduce myocardial oxygen demand. Which medication should the nurse expect to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 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?

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

A nurse is educating a group of clients about the risk factors for myocardial infarction (MI). Which risk factor is considered a non-modifiable risk factor for MI?

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 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 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 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 angina pectoris reports chest pain and is receiving oxygen therapy. The client asks the nurse about the purpose of oxygen administration. How should the nurse respond?