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.

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A Reason:Coronary artery bypass graft surgery (CABG) is not primarily performed to increase blood flow to the myocardium. Instead, it aims to restore blood flow to areas of the heart affected by blockages.

Choice B Reason:CABG does not intentionally decrease blood flow to the coronary arteries. On the contrary, it creates a new pathway to bypass blocked or partially blocked coronary arteries, improving blood flow to the heart muscle.

Choice C Reason:The primary purpose of CABG is to treat coronary artery disease by restoring blood flow to areas of the heart that aren't receiving enough blood. It involves using healthy blood vessels (usually from the chest or leg) to create a detour around blockages. By doing so, CABG improves heart function and reduces symptoms related to ischemia.

Choice D Reason:While CABG can indirectly prevent spasms of the coronary arteries by improving blood flow, it is not its primary purpose.

A. Call for help while holding the patient in bed. B. Walk the patient to the bathroom. C. Obtain a bedside commode. D. Obtain a bedpan for the patient to use.

Correct Answer is C

Explanation

Choice A reason: Physically restraining the patient is not appropriate unless the patient is at immediate risk of harm to themselves or others.

Choice B reason: Walking the patient to the bathroom may not be safe if the patient has been prescribed bedrest due to heart failure.

Choice C reason: Obtaining a bedside commode respects the patient's autonomy and dignity while adhering to the prescribed bedrest.

Choice D reason: While obtaining a bedpan is an option, a bedside commode may be more comfortable and dignified for the patient.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse would evaluate a female patient, age 68, as understanding teaching on the purpose of coronary artery bypass graft surgery if she made which of the following statements?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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