Which patient statement would help the nurse confirm the previous diagnosis of chronic stable angina?.
"The pain is level 3 to 5 (0 to 10 scale).”.
"The pain has gotten worse over the last week.”.
"The pain wakes me up at night.”.
"The pain goes away with a nitroglycerin tablet.”. .
The Correct Answer is D
Choice A rationale:
The pain level of 3 to 5 on a scale of 0 to 10 does not specifically indicate chronic stable angina.
Choice B rationale:
Pain that has worsened over the last week could indicate a number of conditions, not specifically chronic stable angina.
Choice C rationale:
Pain that wakes a patient up at night could be a sign of a number of conditions, not specifically chronic stable angina.
Choice D rationale:
Chronic stable angina is characterized by chest pain that is relieved by rest or nitroglycerin. Therefore, if the patient’s pain goes away with a nitroglycerin tablet, it would help confirm a diagnosis of chronic stable angina.
So, the correct answer is Choice D, after analyzing all choices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
ST segment changes on an ECG are not typically associated with chronic constrictive pericarditis.
Choice B rationale:
Jugular venous distention (JVD) is a common sign of chronic constrictive pericarditis. If JVD is not present, it may indicate that the therapies are effective.
Choice C rationale:
While the sedimentation rate can indicate inflammation, it is not specific to chronic constrictive pericarditis.
Choice D rationale:
The presence of a paradoxical pulse is not typically associated with chronic constrictive pericarditis.
So, the correct answer is B, after analyzing all choices.
Correct Answer is A
Explanation
Choice A rationale:
Cardiac-specific troponin is a protein that is released into the bloodstream when there is damage to the heart muscle, such as during an acute myocardial infarction (AMI). It is considered the most specific marker for AMI because it is found only in heart muscle. The normal range for troponin I is between 0 and 0.04 ng/mL2.
Choice B rationale:
Myoglobin is a protein found in heart and skeletal muscles. While it can be elevated in AMI, it is not as specific as troponin because it is also found in skeletal muscles. The normal levels of myoglobin are 25 to 72 ng/mL4.
Choice C rationale:
Homocysteine is an amino acid in the blood, and high levels can increase the risk of heart disease. However, it is not specific for AMI5. The normal range of homocysteine levels are less than 15 micromoles per liter.
Choice D rationale:
C-reactive protein (CRP) is a marker of inflammation in the body and can be elevated in various conditions, including heart disease. However, it is not specific for AMI6. The normal CRP level is less than 0.9 milligrams per deciliter.
So, the correct answer is A, after analyzing all choices.
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