Medical Surgical Cardiac Angina #2

Question

The nurse is providing education for a client diagnosed with angina pectoris. Further education is needed after the client verbalizes which statement after teaching is provided?

Answers

  1. “I know that exercise may increase the heart’s oxygen demands, and may cause angina; however, moderate exercise is beneficial.”
    • Rationale:

      This answer is not correct because the client is making a correct statement confirming understanding of the teaching provided. Exercise may increase the heart’s oxygen demands, and may cause angina; however, moderate exercise is beneficial.

  2. “Exercise must be avoided at all costs, and I will be more comfortable in my chair during the day.”
    • Rationale:

      This answer is correct because the client needs more information and education for statements that indicate ceasing of activity and exercise. Light to moderate exercise on a regular schedule is beneficial and has a positive effect on contributing factors of heart disease. Exercise increases blood and oxygen flow to the heart while at rest and while performing other activities.

  3. “I can log symptoms and activities that precipitate angina attacks.”
    • Rationale:

      This answer is not correct because the client is making a correct statement confirming understanding of the teaching provided. The client should log symptoms and activities that precipitate angina attacks

  4. “If I experience angina, I will stop the activity and sit or lie down to reduce oxygen requirements until the pain subsides.”
    • Rationale:

      This answer is not correct because the client is making a correct statement confirming understanding of the teaching provided. The client should understand that if they experience angina, they need to stop the activity and sit or lie down to reduce oxygen requirements until the pain subsides.

Overview

Light to moderate exercise on a regular schedule is beneficial and has a positive effect on contributing factors of heart disease.

Explanation

Learning Outcomes

Client discharge education is important, especially following angina pectoris. The nurse should cover many things including activity and logging/reporting symptoms. The client should express understanding to assure adherence and positive client outcome. Activity should include light to moderate exercise because careful exercise is beneficial to the client. It does increase oxygen demand on the heart and could cause angina. Therefore, the client should understand that if chest pain occurs, they need to stop the activity and sit or lie down to reduce oxygen requirements until the pain subsides. The client should understand to log symptoms and activities that precipitate angina attacks.

Test Taking Tip

Be cautious of answers that are absolutes, such as “avoid”, “always”, “all”, or “none”, unless looking for a negative response.

Video Rationale