The nurse is writing a care plan for a patient who has been started on an antiarrhythmic drug for complaints of chest pain and palpitations. The patient says, "I can't do what I once did. I just do not have any energy."
Which nursing diagnoses would the nurse likely include in this care plan?
1. Decreased Cardiac Output
2. Ineffective Breathing Pattern
3. Activity Intolerance
4. Ineffective Individual Coping
5. Impaired Gas Exchange
Correct Answer: 1,3
Rationale 1: Decreased cardiac output is a common occurrence in patients who have palpitations and may be the etiology of the patient's chest pain.
Rationale 2: There is no evidence that this patient is not breathing effectively and not enough information to decide that the patient is at risk of developing problems breathing.
Rationale 3: The statement "I can't do what I once did" is an indicator that the patient is not tolerating normal amounts of activity.
Rationale 4: There is no evidence that this patient is not coping with the illness.
Rationale 5: To support this nursing diagnosis, the patient must have alterations in arterial blood gases.
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