NURSING 4 CHAPTER 26- DRUG THERAPY FOR ANGINA QUESTIONS AND ANSWERS WITH RATIONALE,100%CORRECT

NURSING 4 CHAPTER 26- DRUG THERAPY FOR ANGINA QUESTIONS AND ANSWERS WITH RATIONALE 1.A patient has substernal chest pain that radiates to the neck. The pain lasts 5 minutes and then subsides with relaxation. What is the most likely cause of the chest pain? A) Myocardial infarction B) Intermittent claudication C) Hypertension D) Angina pectoris Ans: D Feedback: Classic angina pain related to angina pectoris is substernal chest pain that can radiate to the jaw. Chest pain that lasts longer than 5 minutes is not associated with angina but is associated with myocardial infarction. Hypertension is usually a condition in which the patient is pain free. Intermittent claudication is not associated with chest pain. 2.A patient is experiencing episodes of chest pain. He smokes one pack of cigarettes per day and has done so for many years. When teaching him about the effect of smoking on the cardiovascular system, the nurse will teach the patient about the effects of nicotine, including which of the following? A) It increases catecholamines to increase heart rate. B) It diminishes the blood's ability to clot. C) It increases myocardial contractility of the heart. D) It increases high-density lipoproteins. Ans: A Feedback: Nicotine increases catecholamines to increase heart rate and blood pressure. It increases platelet adhesiveness and aggregation to increase, not decrease, clotting. It decreases myocardial contractility. It does not increase myocardial contractility. It decreases good cholesterol, which is the high-density lipoprotein. 3. The nurse is teaching the patient about angina pectoris. Which of the following statements by the patient indicates that he has understood the teaching?