Nurse 125 Final Exam Review Questions & Answers With Lengthy Rationales, Updated

Nurse 125 Final Exam Review Questions & Answers
With Lengthy Rationales, Updated
The nurse collects data from a client who has experienced an episode of chest pain. The
client tells the nurse that the chest pain started shortly after he started raking leaves but
went away after he rested and took a nitroglyerin tablet. Which type of angina should the
nurse recognize in the client's description?
1.
Stable
2.
Variant
3.
Unstable
4.
Intractable - 1. Stable angina, also called exertional angina, occurs during activities that
involve exertion or emotional stress and is relieved by rest or nitroglycerin. It usually has
a stable pattern of onset, duration, severity, and relieving factors. Variant angina, also
called Prinzmetal or vasospastic angina, results from coronary artery spasm. It may occur
when the client is at rest and may be associated with ST-segment elevation on
electrocardiography. Unstable angina is also called preinfarction angina. It occurs with an
unpredictable degree of exertion or emotion and increases in frequency, duration, and
severity over time; it may not be relieved by nitroglycerin. Intractable angina is a chronic,
incapacitating type of angina that is unresponsive to interventions.
Which measures should the nurse implement in the immediate management of the care of
a client experiencing angina? Select all that apply.
1.
Administering oxygen
2.
Assessing the client's pain
3.
Administering nitroglycerin
4.
Placing the client in a side-lying supine position