Difficulty: Medium
Average Score: 64%
Simulated
A client is admitted to the emergency department with chest pain and shortness of breath. The client states that the chest pain has been happening intermittently all day, lasts about 15 minutes at a time, and has been happening without any physical exertion or emotional stress. STAT lab results reveal troponin levels of 0.01 ng/mL, and a 12-lead electrocardiogram (ECG) shows sinus tachycardia with a T-wave inversion. Which diagnosis would the nurse expect for this client?
Correct answer
D
Rationale
Unstable angina presents with chest pain that occurs at rest or with minimal exertion and is not predictable. The presence of T-wave inversion and normal troponin levels is consistent with this diagnosis.