For the client receiving coronary vasodilators for angina pectoris, the nurse would identify which of the following in making a nursing diagnosis
a. Ineffective cardiac tissue perfusion related to decreased oxygen to tissues
b. Deficient knowledge related to medication administration
c. Risk for injury of falls related to postural hypertension
d. Acute pain related to medication-induced headache
ANS: A
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A Correct: This is the reason for the angina and for the need for coronary vasodilators.
B Incorrect: Although important, this is not the priority.
C Incorrect: Risk for falls is due to postural hypotension.
D Incorrect: Although appropriate, this is not the priority.
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