A patient presents to the emergency room reporting chest pain. They state their chest pain occurs with activity and that it subsided after taking nitroglycerin. In addition, the patient states the pain lasted for 8 minutes. Based on the patient's signs and symptoms, what type of angina may the patient be experiencing?
Stable angina
Variant angina (Printmetal Angina)
Microvascular angina
Unstable angina
The Correct Answer is A
A. Stable angina: This type of angina typically occurs with physical activity or stress and is relieved by rest or the use of nitroglycerin. The patient's report of chest pain occurring with activity, subsiding after taking nitroglycerin, and lasting for 8 minutes aligns with the characteristics of stable angina, indicating that the heart is not receiving enough oxygen during increased demand.
B. Variant angina (Prinzmetal angina): This type of angina occurs due to coronary artery spasms and can happen at rest, often without any apparent trigger. It is usually relieved by rest or medication but is less likely to be activity-related, making it an unlikely diagnosis in this case.
C. Microvascular angina: This type of angina is associated with dysfunction of the small coronary arteries rather than blockages in the larger arteries. It may present differently and is often not directly linked to physical activity or relieved by nitroglycerin.
D. Unstable angina: Unstable angina is characterized by unexpected chest pain that occurs at rest, is more intense, and lasts longer than stable angina. It does not typically resolve quickly with nitroglycerin. Since the patient reports that the pain was activity-related and resolved after taking nitroglycerin, unstable angina is unlikely in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Pus in the pleural space: This describes empyema, a condition in which infection leads to pus accumulation in the pleural space. Empyema is commonly associated with bacterial pneumonia, lung abscess, or thoracic surgery and requires drainage and antibiotic therapy. It does not cause the lung collapse seen in pneumothorax.
B. Collapse of small airways: While airway collapse can occur in conditions like bronchiolitis or atelectasis, it is not the defining feature of pneumothorax. Pneumothorax specifically involves air leaking into the pleural space, which disrupts the negative pressure necessary for lung expansion and results in partial or complete lung collapse.
C. Blood in the chest cavity: This describes hemothorax, a condition in which blood accumulates in the pleural space due to trauma, ruptured blood vessels, or certain medical conditions. Unlike pneumothorax, which involves air in the pleural space, hemothorax requires different management, including drainage with a chest tube and possible fluid resuscitation.
D. Air in the pleural space: Pneumothorax occurs when air enters the pleural space, causing a loss of negative pressure and leading to lung collapse. This can result from chest trauma, spontaneous rupture of alveoli, underlying lung disease, or mechanical ventilation. Symptoms may include sudden chest pain, dyspnea, and decreased breath sounds on the affected side.
Correct Answer is B
Explanation
A. Septal: Septal cardiomyopathy typically refers to abnormalities in the interventricular septum and does not specifically address the rigidity and noncompliance of the myocardium that affects diastolic filling.
B. Restrictive: Restrictive cardiomyopathy is characterized by a rigid and noncompliant myocardium that impedes ventricular filling during diastole. This results in elevated pressures in the ventricles and may lead to heart failure symptoms due to poor filling capacity.
C. Infiltrative: Infiltrative cardiomyopathy involves the deposition of abnormal substances (such as amyloid or sarcoid) within the myocardial tissue, which can lead to stiffness. While this may contribute to restrictive physiology, "restrictive" is the more precise term for the condition described.
D. Hypertrophic: Hypertrophic cardiomyopathy is characterized by an abnormal thickening of the heart muscle, particularly the left ventricle. While this condition can affect diastolic filling, it is primarily due to muscle hypertrophy rather than rigidity and noncompliance of the myocardium.
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