NCLEX-RN
NCLEX RN Cardiovascular Questions Questions
Extract:
The following scenario applies to the next 1 items
The nurse in the emergency department is triaging a client.
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Nurses' Notes
Orders
Diagnostic Results
0819: The client reports feeling "tightness in the chest" for the last 30 minutes. The pain came on suddenly while he was in bed. He describes the pain as a pressure-like sensation radiating to his left arm. He states that the pain is 'severe.' The pain does not improve with rest or changing positions. The client reported one year ago, he had this chest pain that was relieved with nitroglycerin. Upon assessment, the client was anxious and had a flushed appearance. Clear lung sounds bilaterally. Peripheral pulses 2+. Physician was called to the triage room where verbal orders were received. Medical history of diabetes mellitus (type two), hypertension, and hyperlipidemia.
Question 1 of 5
For each assessment finding below, click to specify if the finding is consistent with the condition of stable angina or unstable angina.
| Assessment findings | Unstable angina | Stable angina |
|---|---|---|
| Location of pain | ||
| Onset of pain | ||
| ECG findings | ||
| Pain intensity | ||
| Duration of pain | ||
| Medical history |
Correct Answer: B,C,D,E
Rationale: A: Both - Pain location (chest, radiating to arm) is similar in both stable and unstable angina. B: Unstable angina - Sudden onset while at rest is characteristic of unstable angina. C: Unstable angina - ECG changes (e.g., ST depression) are more likely in unstable angina. D: Unstable angina - Severe pain is typical of unstable angina. E: Unstable angina - Prolonged pain duration is associated with unstable angina. F: Both - Medical history (e.g., hypertension, diabetes) is relevant to both conditions.
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