The patient is being treated for angina. He asks the nurse if angina is the same thing as having a heart attack. What is the best response by the nurse?
1. "Severe emotional distress and panic can accompany angina."
2. "A heart attack, or myocardial infarction, means part of your heart has died."
3. "Actually, it depends on what type of angina you mean; there are several types."
4. "They are basically the same, but with angina, part of your heart dies."
5. "Angina is caused by insufficient oxygen to the myocardium."
Correct Answer: 1,2,5
Rationale: Angina pectoris is acute chest pain caused by insufficient oxygen reaching a portion of the myocardium. Accompanying the discomfort is severe emotional distress, a feeling of panic with fear of impending death. A myocardial infarction indicates ischemia and necrosis have occurred to the affected part of the myocardium. Angina and myocardial infarction are different in that with myocardial infarction ischemia and necrosis occurs to a portion of the myocardium. There are several types of angina; however this response does not answer the patient's question.
You might also like to view...
An adolescent patient with acute kidney injury (AKI) asks why she is taking Tums (calcium carbonate). Which response by the nurse is the most appropriate?
A. Gets rid of phosphorus B. Prevents Curling ulcers C. Prevents gastric reflux D. Provides calcium
A client is prescribed verapamil. The nurse would alert the client to the possibility of which of the following as most common? Select all that apply
A) Constipation B) Tachycardia C) Tachypnea D) Hypotension E) Headache
A research study is conducted using newborn screening samples analyzed and stored over two years at a state health department. Study results are inconsistent and erratic. What are the likely reasons for this variability?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Differences in the way samples were originally collected 2. Degradation of the samples over time 3. Contamination from the original analysis 4. Inexperience using newborn screening samples 5. High numbers of conditions screened in these samples
A young girl has just injured her ankle at school. In addition to notifying the child's parents, what is the most appropriate, immediate action by the school nurse?
a. Apply ice. b. Observe for edema and discoloration. c. Encourage child to assume a position of comfort. d. Obtain parental permission for administration of acetaminophen or aspirin.