A group of nursing students is writing a care plan for a patient with acute coronary syndrome as a graded project in their med-surg class. What nursing diagnosis should these students include in their plan of care?
A) Risk for effective cardiac tissue perfusion
B) Risk for imbalanced fluid volume
C) Risk for effective peripheral tissue perfusion
D) Deficient knowledge related to angina medications
Ans: B
Feedback: Based on the clinical manifestations, history, and diagnostic assessment data, major nursing diagnoses may include ineffective cardiac tissue perfusion related to reduced coronary blood flow; risk for imbalanced fluid volume; risk for ineffective peripheral tissue perfusion related to decreased cardiac output from left ventricular dysfunction; death anxiety related to cardiac event; deficient knowledge about post-ACS self-care. Therefore options A, C, and D are incorrect.
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Some competence but low commitment
a. D1 b. D2 c. S2 d. S1