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

"Take aspirin at the onset of chest pain."

"Keep a log of activities that trigger your angina."

"Limit physical activity to avoid exertion."

"Use nitroglycerin as needed for chest pain relief."

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because while aspirin is important for clients with angina, the priority teaching point is the use of nitroglycerin for chest pain relief during angina episodes.

B) This choice is incorrect because keeping a log of triggers can be helpful for managing angina, but it is not the priority teaching point regarding the immediate relief of chest pain.

C) This choice is incorrect because limiting physical activity to avoid exertion is not the primary management strategy for angina. Moderate exercise, as tolerated, is beneficial for clients with stable angina.

D) This choice is correct. Nitroglycerin is a vasodilator that helps to relax and widen blood vessels, improving blood flow and relieving chest pain during an angina episode. Teaching the client to use nitroglycerin as needed for chest pain relief is a priority in angina management.

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

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 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 nurse is teaching a client about the pathophysiology of myocardial infarction (MI). What is the primary cause of MI?

A nurse is providing education to a client with angina about stress management techniques. The client asks the nurse how stress affects the heart. How should the nurse respond?

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 client with angina pectoris is prescribed sublingual nitroglycerin tablets. What instructions should the nurse provide about taking nitroglycerin?

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 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 nurse is caring for a client with unstable angina and receives an order for antiplatelet therapy. Which medication should the nurse expect to administer?

A client who experienced an MI is prescribed beta-blocker medication. The client asks the nurse about the purpose of this medication. How should the nurse respond?