Which of the following is a priority nursing diagnosis for a patient with newly developed significant ST segment elevation in leads V1 throughV4?
1. denial
2. activity intolerance
3. decreased cardiac output
4. anxiety
3
Rationale: ST segment elevation greater than 1 mm in two contiguous leads demonstrates an acute myocardial infarction). Changes in the V leads indicate an anteroseptal wall myocardial infarction. This type of myocardial infarction can produce significant muscle damage leading to pump failure and shock which leads to a decrease in cardiac output. The other nursing diagnoses of denial, activity intolerance, and anxiety might be appropriate for the patient once the cardiac status has been stabilized.
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