Podcast
Questions and Answers
What type of information does the nurse gather about the patient's symptoms and activities?
What type of information does the nurse gather about the patient's symptoms and activities?
- Information about the patient's family history
- Information about the patient's diet and exercise routine
- Information about the patient's response to angina (correct)
- Information about the patient's social life
What is the basis for designing an effective program of treatment and prevention?
What is the basis for designing an effective program of treatment and prevention?
- The patient's risk factors for CAD
- The patient's diet and exercise routine
- The patient's response to angina (correct)
- The patient's and family's understanding of the diagnosis
What may be a major nursing diagnosis based on the assessment data?
What may be a major nursing diagnosis based on the assessment data?
- Lack of knowledge about methods for avoiding complications (correct)
- Able to perform self-care
- Risk for impaired respiratory function
- Anxiety associated with lack of exercise
Which of the following is NOT mentioned as a major nursing diagnosis based on the assessment data?
Which of the following is NOT mentioned as a major nursing diagnosis based on the assessment data?
What does CAD stand for in this context?
What does CAD stand for in this context?
What type of information does the nurse also assess besides angina pectoris?
What type of information does the nurse also assess besides angina pectoris?
What is the main purpose of gathering information about the patient's symptoms and activities?
What is the main purpose of gathering information about the patient's symptoms and activities?
Why does the nurse gather information about those symptoms and activities?
Why does the nurse gather information about those symptoms and activities?
What are appropriate questions listed in Chart 23-4 related to?
What are appropriate questions listed in Chart 23-4 related to?
What is NOT included in major nursing diagnoses based on the assessment data?
What is NOT included in major nursing diagnoses based on the assessment data?
What does the nurse assess besides angina pectoris or its equivalent?
What does the nurse assess besides angina pectoris or its equivalent?
What are the potential complications associated with angina?
What are the potential complications associated with angina?
What is the major patient goal when managing angina?
What is the major patient goal when managing angina?
What should the nurse do if the patient reports pain or cardiac ischemia is suggested by prodromal symptoms?
What should the nurse do if the patient reports pain or cardiac ischemia is suggested by prodromal symptoms?
What is the recommended action if the chest pain remains unchanged or is lessened but still present after nitroglycerin administration?
What is the recommended action if the chest pain remains unchanged or is lessened but still present after nitroglycerin administration?
What should the nurse do if the patient's respiratory rate is increased or if the oxygen saturation level is decreased?
What should the nurse do if the patient's respiratory rate is increased or if the oxygen saturation level is decreased?
What are common fears of patients with angina?
What are common fears of patients with angina?
What does the nurse need to identify when reviewing assessment findings for a patient with angina?
What does the nurse need to identify when reviewing assessment findings for a patient with angina?
What is the goal of educating the patient with angina?
What is the goal of educating the patient with angina?
What is angina pectoris?
What is angina pectoris?
What is typical angina described as?
What is typical angina described as?
What is important for a nurse to explore with a patient experiencing angina?
What is important for a nurse to explore with a patient experiencing angina?
What is the typical symptom of angina pectoris?
What is the typical symptom of angina pectoris?
Which type of angina typically has a regular pattern, lasts 5 minutes or less, and comes and goes at expected times, such as during exercise?
Which type of angina typically has a regular pattern, lasts 5 minutes or less, and comes and goes at expected times, such as during exercise?
What is the main cause of angina pectoris?
What is the main cause of angina pectoris?
Which medical procedure involves inserting a small balloon into the heart's blood vessels to open them?
Which medical procedure involves inserting a small balloon into the heart's blood vessels to open them?
What lifestyle change can help prevent angina pectoris?
What lifestyle change can help prevent angina pectoris?
Which medication is used to help prevent blood clots that can block blood vessels?
Which medication is used to help prevent blood clots that can block blood vessels?
What is the main symptom of stable angina?
What is the main symptom of stable angina?
What is the main symptom of unstable angina?
What is the main symptom of unstable angina?
Which test uses sound waves to make images of the heart and can show parts of the heart that are not getting enough blood?
Which test uses sound waves to make images of the heart and can show parts of the heart that are not getting enough blood?
What is the common description of angina pectoris?
What is the common description of angina pectoris?
What lifestyle change can help prevent angina pectoris?
What lifestyle change can help prevent angina pectoris?
What is the most commonly reported manifestation of cardiac chest pain?
What is the most commonly reported manifestation of cardiac chest pain?
What is the expected companion of ischemic heart disease?
What is the expected companion of ischemic heart disease?
What is the result of insufficient oxygen in one or more areas of the heart muscle?
What is the result of insufficient oxygen in one or more areas of the heart muscle?
What is the primary cause of a change in angina from the patient's typical experiences?
What is the primary cause of a change in angina from the patient's typical experiences?
What is the recommended action if the chest pain remains unchanged or is lessened but still present after nitroglycerin administration?
What is the recommended action if the chest pain remains unchanged or is lessened but still present after nitroglycerin administration?
What are common fears of patients with angina?
What are common fears of patients with angina?
What is a major goal for educating the patient with angina?
What is a major goal for educating the patient with angina?
What lifestyle change can help prevent angina pectoris?
What lifestyle change can help prevent angina pectoris?
What lifestyle change can help prevent angina pectoris?
What lifestyle change can help prevent angina pectoris?
What should be explored with a patient to reduce anxiety related to angina?
What should be explored with a patient to reduce anxiety related to angina?
What is typically given at 2 L/min by nasal cannula for patients with angina?
What is typically given at 2 L/min by nasal cannula for patients with angina?
What does the patient need awareness and understanding of in terms of prescribed care for angina?
What does the patient need awareness and understanding of in terms of prescribed care for angina?
What is the main focus of the nurse's assessment when gathering information about the patient's symptoms and activities?
What is the main focus of the nurse's assessment when gathering information about the patient's symptoms and activities?
What is a potential major nursing diagnosis based on the assessment data for a patient with angina pectoris?
What is a potential major nursing diagnosis based on the assessment data for a patient with angina pectoris?
Besides assessing angina pectoris, what does the nurse also assess in the patient?
Besides assessing angina pectoris, what does the nurse also assess in the patient?
What lifestyle change can help prevent complications for a patient with angina pectoris?
What lifestyle change can help prevent complications for a patient with angina pectoris?
What should the nurse explore with a patient experiencing angina pectoris?
What should the nurse explore with a patient experiencing angina pectoris?
Which test uses sound waves to make images of the heart and can show parts of the heart that are not getting enough blood?
Which test uses sound waves to make images of the heart and can show parts of the heart that are not getting enough blood?
What may be a major nursing diagnosis based on the assessment data for a patient with angina pectoris?
What may be a major nursing diagnosis based on the assessment data for a patient with angina pectoris?
What medication is used to help prevent blood clots that can block blood vessels?
What medication is used to help prevent blood clots that can block blood vessels?
What is important for a nurse to explore with a patient experiencing angina pectoris?
What is important for a nurse to explore with a patient experiencing angina pectoris?
What is the main symptom of unstable angina?
What is the main symptom of unstable angina?
What should the nurse do if the patient reports pain or cardiac ischemia is suggested by prodromal symptoms?
What should the nurse do if the patient reports pain or cardiac ischemia is suggested by prodromal symptoms?
What is NOT included in major nursing diagnoses based on the assessment data?
What is NOT included in major nursing diagnoses based on the assessment data?
What is the typical description of angina pectoris?
What is the typical description of angina pectoris?
What can trigger an attack of angina in an individual?
What can trigger an attack of angina in an individual?
Which type of angina does not have a pattern and happens more often, signaling a heart attack and requiring emergency treatment?
Which type of angina does not have a pattern and happens more often, signaling a heart attack and requiring emergency treatment?
What is the main symptom of unstable angina?
What is the main symptom of unstable angina?
What causes angina to happen?
What causes angina to happen?
What lifestyle change can help prevent angina pectoris?
What lifestyle change can help prevent angina pectoris?
What is the main purpose of educating the patient with angina?
What is the main purpose of educating the patient with angina?
Which medication is used to help prevent blood clots that can block blood vessels?
Which medication is used to help prevent blood clots that can block blood vessels?
Study Notes
Angina Pectoris
- The nurse gathers information about the patient's symptoms and activities to design an effective program of treatment and prevention.
- The main purpose of gathering information is to identify patterns and triggers of angina attacks.
Assessment Data
- The nurse assesses factors such as:
- Symptoms of angina, including chest pain, pressure, or heaviness
- Activities that trigger or relieve symptoms
- Medical history, including risk factors and comorbidities
- Lifestyle habits, including diet, exercise, and stress management
Nursing Diagnoses
- Potential major nursing diagnoses based on assessment data include:
- Ineffective cardiopulmonary tissue perfusion
- Deficient knowledge regarding disease process and self-care
- Anxiety related to fear of heart attack or death
- NOT included in major nursing diagnoses: Cardiovascular disease
Angina Pectoris
- Angina pectoris is chest pain or discomfort that occurs when the heart muscle does not get enough oxygen-rich blood.
- Typical angina is described as a squeezing, pressure, or heaviness in the chest that may radiate to the arms, back, neck, or jaw.
- Angina can be stable (typical, expected pattern) or unstable (new, worsening, or changing pattern).
Causes and Complications
- The main cause of angina pectoris is insufficient oxygen to the heart muscle due to coronary artery disease (CAD).
- Potential complications include heart attack, cardiac arrhythmias, and heart failure.
Treatment and Prevention
- Lifestyle changes that can help prevent angina pectoris include:
- Quitting smoking
- Maintaining a healthy diet
- Exercising regularly
- Managing stress
- Medications used to help prevent blood clots that can block blood vessels include anticoagulants and antiplatelet agents.
Patient Education
- The goal of educating the patient with angina is to promote self-management and reduce anxiety related to the condition.
- The nurse should explore the patient's fears and concerns about angina and provide education on prescribed care, including medication management and lifestyle changes.
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Description
Test your knowledge of the nursing process for assessing a patient with angina pectoris. This quiz focuses on gathering information about the patient’s symptoms and activities, as well as designing an effective program of treatment and prevention based on the assessment.
