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. 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.

A. Nuts and seeds. B. Avocado and olive oil. C. Fatty cuts of red meat and butter. D. Whole grains and legumes.

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.

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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 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?

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?

Correct Answer is C

Explanation

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 nurse is assessing a client with suspected myocardial infarction (MI). Which assessment finding is most indicative of an acute MI?

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?

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 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 unstable angina is scheduled for coronary artery bypass grafting (CABG). The client asks the nurse about the purpose of this surgery. How should the nurse respond?

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 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?