A patient reports the following symptoms. Which symptoms would the nurse evaluate as probable unstable angina?
1. "My chest has started hurting even if I am just watching television."
2. "My chest starts hurting if I climb one set of stairs."
3. "My attacks of chest pain are coming more frequently now."
4. "The pain is intense and moves up into my neck."
5. "The pain is worse than it used to be."
1,3,5
Rationale 1: If pain is now happening even at rest; the angina is unstable.
Rationale 2: Chest pain that is predictable is usually stable angina.
Rationale 3: Increased frequency of pain indicates that angina is unstable.
Rationale 4: Intense pain that radiates to the neck can occur in stable or unstable angina.
Rationale 5: Pain that is worsening indicates the angina is unstable.
Global Rationale: If pain is now happening even at rest, the angina is unstable. Increased frequency of pain and pain that is worsening indicate that angina is unstable. Chest pain that is predictable is usually stable angina. Intense pain that radiates to the neck can occur in stable or unstable angina.
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