A patient has been admitted for treatment of acute pericarditis. The nurse would include which nursing diagnoses in this patient's plan of care? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Question

Select all that apply. 1. Anxiety
2. Decreased Cardiac Output
3. Risk for Impaired Skin Integrity
4. Ineffective Tissue Perfusion
5. Activity Intolerance

Answer 1

1,2,4,5
Rationale 1: Anxiety is produced when the patient has a serious disease and the future is unknown.
Rationale 2: Many of the manifestations of pericarditis are related to a decrease in cardiac output.
Rationale 3: Pericarditis is not associated with impaired skin integrity.
Rationale 4: The patient with pericarditis has the potential for ineffective tissue perfusion because the heart is not pumping efficiently.
Rationale 5: Because the heart cannot deliver sufficient oxygen to the muscles, the patient will have activity intolerance.