A 42-year-old obese client with complaints of severe radiating chest pain, tightening in the chest, and dyspnea has received a diagnosis of angina pectoris. He is prescribed nitroglycerin tablets to relieve the pain attacks. During a follow-up visit, the client tells the nurse that the frequency and duration of the attacks have reduced with the use of nitroglycerin tablets, and now he is eager to take necessary precautions. The client is also a heavy smoker. a. Why would you say that the client has angina pectoris and not myocardial infarction? b. What instructions should the nurse give the client to prevent further attacks?
A 42-year-old obese client with complaints of severe radiating chest pain, tightening in the chest, and dyspnea has received a diagnosis of angina pectoris. He is prescribed nitroglycerin tablets to relieve the pain attacks. During a follow-up visit, the client tells the nurse that the frequency and duration of the attacks have reduced with the use of nitroglycerin tablets, and now he is eager to take necessary precautions. The client is also a heavy smoker.
a. Why would you say that the client has angina pectoris and not myocardial infarction?
b. What instructions should the nurse give the client to prevent further attacks? 11, 12, 13
2. A 50-year-old stockbroker has recovered from coronary artery bypass grafting (CABG) surgery and is soon to be discharged. He is concerned about possible risks of coronary artery disease (CAD) and wants to lead a healthier lifestyle. What instructions should a nurse give to the client to prevent further CAD?
3. A client is scheduled for an angiocardiogram. The healthcare facility requires an informed consent from the client. When the nurse discusses the issues with this client, he refuses to sign the consent form and gets anxious and apprehensive about the test. Should the nurse proceed with the test? What is the nurse’s role in ensuring that the client is informed and feels comfortable taking the test?
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