A female client with coronary heart disease asks the nurse, "How will I know if I am having a heart attack if the symptoms are different for women?" What should the nurse explain to this client?
1. "Women usually do not become short of breath."
2. "Fatigue and weakness in the lower extremities often occurs just before the chest pain."
3. "The pain is often experienced as nausea and heartburn."
4. "The pain is always precipitated by activity."
Answer: 3
1. Shortness of breath does occur in women who are experiencing an acute MI.
2. Fatigue and weakness occur in the upper extremities.
3. Chest pain in females is often atypical; it may be silent, experienced as epigastric pain and nausea.
4. The pain can occur at rest.
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True False
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