The nurse is writing a care plan for a client who is prescribed an antiarrhythmic drug for complaints of chest pain and palpitations
The client says, "I can't do what I once did. I just do not have any energy." Which nursing diagnoses would the nurse likely include in this care plan?
Standard Text: Select all that apply.
1. Cardiac Output, Decreased
2. Breathing Pattern, Ineffective
3. Activity Intolerance
4. Coping, Ineffective
5. Gas Exchange, Impaired
Correct Answer: 1,3
Rationale 1: Decreased cardiac output is a common occurrence in clients who have palpitations and may be the etiology of the client's chest pain.
Rationale 2: There is no evidence that this client is not breathing effectively and not enough information to decide that the client is at risk of developing problems breathing.
Rationale 3: The statement "I can't do what I once did" is an indicator that the client is not tolerating normal amounts of activity.
Rationale 4: There is no evidence that this client is not coping with the illness.
Rationale 5: To support this nursing diagnosis, the client must have alterations in arterial blood gases.
Global Rationale: Decreased cardiac output is a common occurrence in clients who have palpitations and may be the etiology of the client's chest pain. The statement "I can't do what I once did" is an indicator that the client is not tolerating normal amounts of activity. There is no evidence that this client is not breathing effectively and not enough information to decide that the client is at risk of developing problems breathing. There is no evidence that this client is not coping with the illness. To support the nursing diagnosis of Impaired Gas Exchange, the client must have alterations in arterial blood gases.
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