The nurse is admitting a patient who has chest pain. Which assessment data suggest that the pain may be from an acute myocardial infarction?.
The pain has lasted longer than 30 minutes.
The pain increases with deep breathing.
The pain is relieved after the patient takes nitroglycerin.
The pain is reproducible when the patient raises the arms.
The Correct Answer is A
Choice A rationale:
Chest pain that lasts for 20 minutes or more is characteristic of an acute myocardial infarction (AMI)123.
Choice B rationale:
Changes in pain that occur with deep breathing are more typical of musculoskeletal pain or pericarditis.
Choice C rationale:
Stable angina is usually relieved when the patient takes nitroglycerin.
Choice D rationale:
Pain that is reproducible when the patient raises the arms is more typical of musculoskeletal pain.
So, the correct answer is A, after analyzing all choices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
A weight increase from 120 pounds to 122 pounds over 3 days is within the normal fluctuation range.
Choice B rationale:
A serum potassium level of 3.0 mEq/L after 1 week of therapy is concerning because it’s below the normal range (3.5-5.0 mEq/L)171819. This could indicate hypokalemia, which can cause serious complications if left untreated.
Choice C rationale:
A palpable liver edge 2 cm below the ribs on the right side could suggest an abnormality such as an enlarged liver.
Choice D rationale:
The presence of 1+ to 2+ edema in the feet and ankles could indicate conditions like heart failure or venous insufficiency.
So, the correct answer is Choice B, after analyzing all choices.
Correct Answer is B
Explanation
Choice A rationale:
Checking the pulse rate before taking nitroglycerin is not necessary.
Choice B rationale:
Sitting down before taking nitroglycerin can prevent dizziness and fainting, which are potential side effects of nitroglycerin.
Choice C rationale:
There is no need to remove the nitroglycerin patch before taking sublingual nitroglycerin.
Choice D rationale:
The nitroglycerin patch should not be used to treat acute chest pain.
So, the correct answer is B, after analyzing all choices.
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