The nurse is caring for a patient who has just had a massive myocardial infarction. Which is the priority nursing diagnosis for this patient?
a. Impaired comfort r/t noisy ICU environment and need for frequent monitoring
b. Interrupted family processes r/t hospitalization of primary wage earner
c. Readiness for enhanced knowledge r/t cardiac rehabilitation options
d. Decreased cardiac output r/t weakened cardiac muscle and irregular heartbeat
ANS: D
Circulation and perfusion of body systems is the highest priority for patients who have suffered myocardial infarction. Decreased cardiac output can lead to poor oxygenation of tissues and organs. The other diagnoses may be addressed once cardiac output has increased and stabilized.
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