An Elderly Patient with a History of Congestive Heart Failure

question 17

Multiple Choice

An elderly patient with a history of congestive heart failure was just admitted for chest pain. The patient asks a nurse, "Why did my chest pain begin after I thought someone was trying to break into my house?" The best response by the nurse is:

• A) "Response to fear increases the body's demand for oxygen, which can place additional stress on your damaged heart and cause chest pain."
• B) "The parasympathetic system used all of your available adrenaline, leaving you so tired that you developed chest pain."
• C) "Because the release of cortisol blocks the body's response to fear, you weren't allowed sufficient time to rest, which can cause chest pain."
• D) "The decrease in oxygen use during the fight-or-flight response is most likely the reason that you developed chest pain."

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