An older patient complains of prolonged and severe chest pain that occurs at the same time each day during rest with no precipitating factors. How should the nurse describe this type of pain?
1. Pericarditis
2. Unstable angina
3. Coronary artery disease
4. Atypical angina (Prinzmetal's angina)
4. Atypical angina (Prinzmetal's angina)
Explanation: 1. This patient is experiencing anginal pain. Pericarditis is an inflammation of the lining surrounding the heart. The cause of pericarditis is unknown but is often due to viral infection.
2. Unstable angina is not relieved by rest or nitroglycerin and is less predictable.
3. Coronary artery disease is a circulatory problem that causes blockages in the arteries.
4. Atypical or Prinzmetal's angina often occurs at the same time each day and typically at rest.
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A nurse obtained a telephone order from a primary care provider for a patient in pain. Which chart entry should the nurse document?
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