A patient calls in to the emergency room and tells the nurse they are having chest pain. They are instructed to sit down and rest.

Their chest pain starts to go away with rest.

The nurse suspects which disorder?

Coronary artery disease.

Angina pectoris.

Congestive heart failure.

Myocardial infarction.

Answer and Explanation

The Correct Answer is B

Choice A rationale:
Coronary artery disease is a chronic condition that develops over time, not typically associated with chest pain that resolves with rest.
Choice B rationale:
Angina pectoris is characterized by chest pain that often improves with rest, as the heart’s demand for oxygen decreases.
Choice C rationale:
Congestive heart failure usually presents with symptoms like shortness of breath, fatigue, and swelling, not necessarily chest pain.
Choice D rationale:
Myocardial infarction, or a heart attack, typically causes severe chest pain that does not improve with rest.

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Correct Answer is A

Explanation

Choice A rationale:
Allopathic medicine refers to traditional Western medicine. The patient has switched from this to a chiropractor, which is considered an alternative therapy.
Choice B rationale:
Complementary therapies are used in conjunction with allopathic medicine, not in place of it.
Choice C rationale:
The patient has not switched to a complementary therapy, but rather from allopathic medicine to an alternative therapy.
Choice D rationale:
The patient has not switched from an alternative therapy to allopathic medicine, but the other way around.

A. Phenytoin 100 mg PO every 8 hr. B. Lisinopril 20 mg PO every 12 hr. C. Hold for systolic BP less than 110 mm Hg. D. Morphine 2.5 mg IV bolus PRN for incisional pain. E. Regular insulin 7 units subcutaneous 30 min before breakfast and dinner.

Correct Answer is C

Explanation

Choice A rationale:
Phenytoin 100 mg PO every 8 hr is a standard prescription for controlling seizures.
Choice B rationale:
Lisinopril 20 mg PO every 12 hr is a typical dose for treating high blood pressure.
Choice C rationale:
“Hold for systolic BP less than 110 mm Hg” is unclear because it does not specify which medication to hold.
Choice D rationale:
Morphine 2.5 mg IV bolus PRN for incisional pain is a standard prescription for pain control after surgery.
Choice E rationale:
Regular insulin 7 units subcutaneous 30 min before breakfast and dinner is a common prescription for managing blood glucose levels in diabetes patients.

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A patient calls in to the emergency room and tells the nurse they are having chest pain. They are instructed to sit down and rest. Their chest pain starts to go away with rest. The nurse suspects which disorder?

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A patient calls in to the emergency room and tells the nurse they are having chest pain. They are instructed to sit down and rest.

Their chest pain starts to go away with rest.

The nurse suspects which disorder?