A nurse is reinforcing teaching with a client who has a new diagnosis of angina pectoris. Which of the following information about anginal pain should the nurse include in the teaching?
The pain worsens with deep inspiration.
The pain persists with rest and organic nitrates.
Exertion and anxiety can trigger the pain.
The pain usually lasts more than 20 minutes.
The Correct Answer is C
Choice A reason: Anginal pain typically does not worsen with deep inspiration; this is more characteristic of pleuritic chest pain.
Choice B reason: Anginal pain usually does not persist with rest and organic nitrates; these interventions are typically used to alleviate angina.
Choice C reason: Exertion and anxiety increase the heart's demand for oxygen, which can trigger anginal pain due to reduced blood flow in narrowed coronary arteries.
Choice D reason: Anginal pain typically lasts for a short time, usually less than 20 minutes. If the pain lasts longer, it may indicate a more serious condition like a myocardial infarction.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: PregnancyWhile pregnancy can be associated with mood changes (such as postpartum depression), it is not considered a primary risk factor for depression. Pregnancy-related mood disorders are specific to the perinatal period and may not apply to all individuals.
Choice B reason: Male genderAlthough depression affects both men and women, research suggests that women are more likely to be diagnosed with depression. However, this does not make male gender a primary risk factor. Other factors play a more significant role.
Choice C reason: Chronic illnessThis is the correct answer. Chronic illnesses (such as diabetes, cardiovascular disease, autoimmune disorders, etc.) are associated with an increased risk of depression. The stress, lifestyle changes, and impact on overall well-being related to chronic illness contribute to this risk.
Choice D reason: Being marriedBeing married is not necessarily a primary risk factor for depression. Relationship status alone does not determine depression risk. Factors such as marital satisfaction, social support, and individual coping mechanisms play a more significant role.
Correct Answer is C
Explanation
Choice A reason: This response may come off as dismissive and does not address the patient's immediate concerns or feelings.
Choice B reason: While this response offers a solution, it does not engage with the patient's current emotional state or provide immediate support.
Choice C reason: This response is therapeutic as it acknowledges the patient's emotional state and invites them to discuss their concerns, which is important in managing patients with bipolar disorder.
Choice D reason: This response might minimize the patient's feelings and does not encourage communication about the patient's current distress.
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