Ask the nurse to explain the type of angina he is experiencing.
The nurse explains the pain is due to the imbalance of myocardial supply.
Unstable.
Ischemic.
Stable angina.
Prinzmetal.
The Correct Answer is C
Choice A rationale
Unstable angina is characterized by sudden, severe chest pain that occurs at rest or with minimal exertion and is not relieved by nitroglycerin. It represents an imminent risk of myocardial infarction.
Choice B rationale
Ischemic heart disease can cause various types of angina, including stable, unstable, and Prinzmetal’s angina. The term “ischemic” refers to a lack of blood flow to the heart muscle, but this choice is too broad.
Choice C rationale
Stable angina occurs when there is an imbalance between myocardial oxygen supply and demand, typically during physical exertion or emotional stress. It is characterized by predictable chest pain that is relieved by rest or nitroglycerin.
Choice D rationale
Prinzmetal’s angina, also known as variant angina, is caused by a spasm in the coronary arteries, which leads to a temporary reduction in blood flow. It can occur at rest and is not necessarily related to the imbalance of myocardial supply and demand.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Using an “ouch” scale, such as the Wong-Baker FACES Pain Rating Scale, is appropriate for young children. It allows them to express their pain intensity in a way that is understandable and relatable to their age group.
Choice B rationale
Encouraging a six-year-old to request pain medication may not be effective, as they might not understand when they need it or might be reluctant to ask.
Choice C rationale
Waiting to administer pain medication until the child begins to cry can delay pain relief, leading to unnecessary discomfort and anxiety.
Choice D rationale
Asking a young child to rate their pain on a scale of 1 to 10 might be confusing and less effective than using a more child-friendly method like the “ouch” scale.
Correct Answer is C
Explanation
Choice A rationale
Sumatriptan does not cause vasodilation of peripheral blood vessels. Instead, it has vasoconstrictive properties.
Choice B rationale
Sumatriptan does not depress pain response in the central nervous system. Its primary action is on the cranial blood vessels.
Choice C rationale
Sumatriptan is a selective serotonin receptor agonist that causes vasoconstriction of cranial blood vessels, relieving migraine headaches.
Choice D rationale
Sumatriptan does not bind to acetylcholine receptors or prevent nerve transmission. It specifically targets serotonin receptors in cranial blood vessels.
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