After instructing a client with stable angina, the nurse would evaluate that the client has a proper understanding of the condition when the client says
a. "Angina pain usually feels like being stabbed with a knife."
b. "Each time I have angina, my heart is damaged."
c. "If I have chest pain, then I'm probably having another heart attack."
d. "My chest pain can occur if I overexert myself."
D
When fixed blockages are present in the coronary arteries, conditions that increase myocardial oxygen demand (e.g., physical exertion, emotion, exposure to cold) may precipitate episodes of angina. The heart is damaged during an MI (myocardial infarction), not angina. The pain of an-gina is described as squeezing, burning, pressing, aching, or bursting pressure. Clients do not describe angina as knife-like. Angina signifies that the balance of myocardial oxygen supply and demand is abnormal but does not mean that the client is having an MI, although having an MI is possible.
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