Author Question: The nurse is teaching a client with angina pectoris about the difference between the pain of angina ... (Read 35 times)

meagbuch · **on:** Jun 25, 2018

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.

Question 2

A client who participates in marathon running is in the clinic for an annual checkup. The nurse is performing a physical examination on the client, and notes that the heart rate is 53 BPM. What should the nurse do?

1. Notify the physician.
2. Get the code cart.
3. Have the client lie down to rest.
4. Continue the assessment.

nital · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

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.

Answer to Question 2

Answer: 4

1. The physician does not need to be notified, as this is normal for this client.
2. The code cart is not needed for this client.
3. The client might need to lie down if there were symptoms, which are not evident here.
4. Athletes frequently have lower heart rates than nonathletes, which is a normal phenomenon for them. These clients do not have symptoms associated with sinus bradycardia.