Nokea
The nurse is caring for a client who was recently admitted to the cardiac floor for angina. This client states that their chest pain occurs at the same time every day at rest. The client does not believe there are any precipitating factors. Which of the following types of angina is this client most likely experiencing?
- A. Variant angina
- B. Stable angina
- C. Unstable angina
- D. Nonanginal pain
Correct Answer: A
Rationale: Variant (Prinzmetal's) angina occurs at rest, often at predictable times, due to coronary artery spasm, not exertion, unlike stable or unstable angina.
You may also like to solve these questions
The nurse has instructed a client who is scheduled to have a transesophageal echocardiogram (TEE). Which of the following statements by the client would indicate a correct understanding of the teaching?
- A. I will need to take antibiotics for one week following this test.
- B. This test will determine if I have any blood clots in my heart.
- C. I will receive general anesthesia for this procedure.
- D. I may feel a flushing sensation when the contrast dye is given.
Correct Answer: B
Rationale: TEE is used to detect intracardiac thrombi, such as in atrial fibrillation, making this statement correct.
The following scenario applies to the next 1 items
The nurse in the emergency department is caring for a 58-year-old male client.
Item 1 of 1
History & Physical Vital Signs Laboratory
Physician: >
1600: 58-year-old client with a history of hypertension and diabetes mellitus (type one) reports headaches and elevated blood pressure. The client reported the headaches started one day ago and have worsened. The client reports not taking his prescribed medications because he lost his health insurance. His prescribed antihypertensive medications were clonidine and enalapril. The client has a flushed appearance on exam, endorses a generalized headache, and blurred vision.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two (2) actions the nurse should take to address that condition, and two (2) parameters the nurse should monitor to assess the client's progress.
- A. Administer prescribed timolol ophthalmic
- B. Obtain hourly blood glucose levels
- C. Obtain a prescription for regular insulin infusion
- D. Position the client Semi-fowler's
- E. Administer prescribed nitroprusside
- F. Potential Conditions: Hypertensive Emergency
- G. Blood Pressure, Thiocyanate levels
Correct Answer: D,E,F,G
Rationale: The client is likely experiencing a hypertensive emergency due to elevated BP, headache, and blurred vision. Actions: E - Nitroprusside lowers BP rapidly; D - Semi-Fowler's position reduces cardiac workload. Parameters: Blood Pressure monitors treatment efficacy; Thiocyanate levels ensure nitroprusside safety.
The following scenario applies to the next 6 items
The client is a 72-year-old male who presents to the emergency department with increasing
shortness of breath over the past two days that gets worse when he is lying flat in bed at night.
Item 1 of 6
History And Physical Nurses' Notes Flow Sheet
0700: The client is a 72-year-old male who presents to the emergency department with increasing shortness of breath over the past two days that gets worse when he is lying flat in bed at night. He states, "I feel like I can't catch my breath," and he had to sleep in a recliner. He reports a 4 lb weight gain over the last week and increasing fatigue. The client is alert and oriented but is using his accessory muscles to breathe. He reports feeling short of breath, orthopnea, and paroxysmal nocturnal dyspnea. He has bilateral pedal edema (+2), bilateral crackles heard upon auscultation, and jugular vein distention noted on his assessment. The
the client has a medical history of hypertension, coronary artery disease, and a prior myocardial infarction. He was diagnosed with heart failure with reduced ejection fraction (HFrEF) two years ago. Current home medications include lisinopril, metoprolol succinate, furosemide, and atorvastatin.
The nurse knows that the priority concept associated with the client's condition is ………….caused by a reduction in…………
- A. Oxygenation
- B. Perfusion
- C. Gas exchange
- D. Cardiac output
- E. Hemoglobin concentration
- F. Fluid balance
Correct Answer: B,D
Rationale: Heart failure is primarily a condition of reduced perfusion (B) due to decreased cardiac output (D), impairing the heart's ability to pump blood effectively.
The nurse has collected a client's vital signs. The nurse notes that the client's apical pulse was 75 beats per minute, and the radial pulse was 69 beats per minute. The nurse should document this finding as
- A. a widened pulse pressure.
- B. a pulse deficit.
- C. pulsus paradoxus.
- D. an expected finding.
Correct Answer: B
Rationale: A difference between apical and radial pulses indicates a pulse deficit, often due to weak or missed beats.
The nurse assesses the following telemetry strip for a client on a medical-surgical unit. Based on the rhythm, what is the priority action for the nurse to take? See the exhibit.
- A. Prepare for synchronized cardioversion
- B. Obtain a prescription for intravenous (IV) atropine
- C. Review the client's most recent labs
- D. Assess if the client has a carotid pulse (P)
Correct Answer: D
Rationale: A life-threatening rhythm (e.g., ventricular tachycardia) requires immediate assessment of pulse to determine if the client is stable or needs resuscitation.