The nurse is teaching a client with angina pectoris about the difference between the pain of angina and the pain from a myocardial infarction. The nurse concludes that the client needs further teaching when the client states:
1. "I can take my medication for pain as often as needed until the angina pain is gone."
2. "Pain from a myocardial infarction lasts longer than angina pain does."
3. "The pain from a myocardial infarction does not go away after three doses of nitroglycerin."
4. "If I am experiencing an infarction, I will have other symptoms besides pain."
Answer: 1
1. Nitroglycerin for angina may be taken three times with 5 minutes between doses. If the pain does not decrease, the client should be instructed to seek immediate medical attention.
2. Pain from a myocardial infarction lasts longer than pain from angina.
3. Nitroglycerin is not effective against pain from a myocardial infarction.
4. With angina, the client experiences pain. If the client is experiencing a myocardial infarction, there will be shortness of breath, sweating, pallor, and nausea.
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