The client is admitted with a diagnosis of angina. The client's angiogram shows no sign of coronary artery disease. Which type of angina does the nurse document in the medical record for this client?
1. Unstable angina
2. Classic angina
3. Vasospastic angina
4. Stable angina
Correct Answer: 3
Rationale 1: Unstable angina is caused by the rupture of an atherosclerotic plaque, resulting in a blood clot and sudden occlusion of a coronary artery. An angiogram showing no coronary artery disease would rule out stable angina.
Rationale 2: Classic angina is another name for stable angina. Stable angina is caused by a gradual narrowing of coronary arteries until it begins to impede blood flow. An angiogram showing no coronary artery disease would rule out stable angina.
Rationale 3: Vasospastic angina is caused by intermittent spasm of the coronary arteries, resulting in severe vasoconstriction, which causes angina. It is usually diagnosed by ruling out stable and unstable angina.
Rationale 4: Stable angina is caused by a gradual narrowing of coronary arteries until it begins to impede blood flow. An angiogram showing no coronary artery disease would rule out stable angina.
Global Rationale: Vasospastic angina is caused by intermittent spasm of the coronary arteries, resulting in severe vasoconstriction, which causes angina. It is usually diagnosed by ruling out stable and unstable angina. Unstable angina is caused by the rupture of an atherosclerotic plaque, resulting in a blood clot and sudden occlusion of a coronary artery. An angiogram showing no coronary artery disease would rule out stable angina. Classic angina is another name for stable angina. Stable angina is caused by a gradual narrowing of coronary arteries until it begins to impede blood flow. An angiogram showing no coronary artery disease would rule out stable angina. Stable angina is caused by a gradual narrowing of coronary arteries until it begins to impede blood flow. An angiogram showing no coronary artery disease would rule out stable angina.
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