Practice Question
A nurse is caring for a client who was admitted for pain between their shoulder blades.
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Rationale:
♦️Angina pectoris is chest discomfort caused by myocardial ischemia without actual cell death.
♦️The client's pain between the shoulder blades that is precipitated by activity and relieved by rest and morphine is classic for anginal pain, particularly in individuals with diabetes and hypertension, who often present with atypical pain patterns (e.g., back or jaw pain).
♦️The cardiac panel supports this diagnosis: Troponin I (0.03 ng/mL) and Troponin T (0.09 ng/mL) are at or below the upper normal limits, indicating no myocardial infarction, as an MI would produce elevated cardiac enzymes due to muscle necrosis.
♦️Additionally, the ECG showing sinus rhythm with PVCs but no ischemic changes supports myocardial irritability rather than infarction.
♦️The client’s high LDL (165 mg/dL), low HDL (35 mg/dL), elevated cholesterol (300 mg/dL), high CRP, and elevated homocysteine signify atherosclerotic risk, predisposing them to coronary artery disease and angina.
♦️Nursing management should focus on oxygen administration, pain relief, cardiac monitoring, and risk factor modification (diet, statins, exercise, and glucose control).
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This question is from Custom 2201 Unit 3 Exam 2025 which contains 58 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Custom Exam(s)
- Answer Choices: 0