A patient reports chest pain. The nurse is attempting to assess the pain to differentiate the pain as cardiac, respiratory, or gastrointestinal
The nurse can properly identify the pain as cardiac in origin when the patient states that the cardiac pain: a. does not occur with respiratory variations.
b. is peripheral and may radiate to the sca-pular areas.
c. is aggravated by inspiratory movements.
d. is nonradiating and occurs during inspira-tion.
A
Cardiac pain does not occur with respiratory variations. Cardiac chest pain is most often subs-ternal and radiates to the left arm and jaw in men, but some women have epigastric pain, com-plaints of indigestion, or a choking feeling and dyspnea. Pericardial pain results from an inflam-mation of the pericardial sac and is usually nonradiating and often occurs with inspiration. Pleu-ritic chest pain is peripheral and usually radiates to the scapular region. Inspiratory maneuvers aggravate pleuritic chest pain.
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