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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A: This choice is incorrect because nitroglycerin tablets should not be swallowed immediately; they are designed to dissolve under the tongue to provide rapid relief from chest pain.
B: This choice is incorrect as nitroglycerin tablets do not need to be taken with water; they should dissolve sublingually and taking them with water could dilute the medication, reducing its effectiveness.
C: This choice is incorrect because crushing the tablet and mixing it with food would delay and potentially reduce the absorption of the medication, which is critical during an episode of angina.
D: This is the correct instruction because nitroglycerin tablets are very sensitive to light and moisture, which can reduce their effectiveness. Keeping them in their original bottle ensures they are protected from environmental factors that could degrade the medication.
Correct Answer is A
Explanation
A) This choice is correct. Measuring troponin levels in the blood is a common initial diagnostic test for evaluating suspected angina pectoris or myocardial infarction (MI). Troponins are specific markers released into the bloodstream when there is cardiac muscle damage, and elevated troponin levels indicate myocardial injury.
B) This choice is incorrect because a stress test is used to assess the heart's response to increased demand and is typically performed after the initial evaluation, such as measuring troponin levels, to confirm the presence of angina or MI.
C) This choice is incorrect because coronary angiography is an invasive procedure used to visualize the coronary arteries and assess for blockages. It is not typically the initial diagnostic test for angina pectoris or MI.
D) This choice is incorrect because cardiac catheterization is an invasive procedure used to measure pressures within the heart and evaluate coronary artery blockages. It is not typically the initial diagnostic test for angina pectoris or MI.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.