During a routine medical exam a client reports feeling odd,with several episodes of chest pressure,shortness of breath,and numbness in both shoulders.The nurse should suspect the client has been experiencing:

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Angina pectoris,substernal pain that usually radiates to the left shoulder and down the left arm,is caused by inadequate blood and oxygen supply to the heart.Although some ischemic attacks are painless,attacks of pain can occur with physical exertion,emotional stress,heavy meals,exposure to extreme cold,and smoking,and they usually increase in frequency and severity over time.

During a Routine Medical Exam a Client Reports Feeling Odd,with