The nurse is caring for a client who has just experienced an acute myocardial infarction. Which nursing diagnosis should the nurse identify as having the highest priority for this client?
1. Ineffective breathing pattern
2. Ineffective coping: Denial
3. Acute pain
4. Anxiety
Answer: 3
1. An acute myocardial infarction does not affect breathing pattern.
2. Denial may initially help to ease anxiety and is a normal coping skill in the early stage.
3. Pain relief is vital in treating the patient with an AMI. Pain stimulates the sympathetic nervous system, increasing the heart rate and blood pressure and, in turn, myocardial workload.
4. Anxiety will be reduced through the coping mechanism of denial.
You might also like to view...
What part of the brain regulates coordination and muscle tone?
a. Cerebellum b. Medulla c. Frontal lobes d. Hypothalamus
A 26-year-old woman who gave birth to a normal newborn 1 month ago reports she cannot cope with being a mom. She is unable to sleep, eats little, and says she feels like a failure because she can't take care of her baby
She has been thinking her baby is "the devil's work" and the cause of her problems. She sits and stares into space, her face a worried, perplexed mask. What would be the priority nursing diagnosis for this patient? a. Risk for impaired attachment b. Disturbed thought processes c. Situational low self-esteem d. Risk for other-directed violence
A patient has a history of diabetes mellitus, myocardial infarctions, and hypertension. His HgbA1c level dropped from 7.8% to 6.2% 2 months after he began a walking exercise program
The nurse case manager had provided diabetic education and suggested ways to enhance his cardiac reserve. This is an example of: a. nursing empowerment. b. nursing knowledge. c. patient expertise. d. patient participation in care.
The nurse caring for a client with a neurologic deficit must begin client and family teaching long before discharge
Indicate whether the statement is true or false