For which patient might the nurse use the nursing diagnosis of Risk for Ineffective Renal Tissue Perfusion?

Question

a. Patient with hypertension who is noncompliant with medication administration
b. Patient with angina who takes nitroglycerine when experiencing chest pain
c. Patient diagnosed with pneumonia, becoming short of breath with activity
d. Patient with a hemorrhagic stroke secondary to head trauma

Answer 1

A
The patient with hypertension who is not taking medications as prescribed can risk damage to tiny arterioles in the kidney, resulting in poor renal tissue perfusion; this would be an appropriate diagnosis. Nitroglycerine is a vasodilator that improves perfusion rather than risking poor perfusion. The patient with pneumonia requires an oxygenation diagnosis and does not risk ineffective renal perfusion unless the heart is damaged. When the body suffers blood loss, perfusion to the internal organs is not affected because the body compensates by reducing blood flow to the periphery and the quantity of blood loss in the brain is limited by the enclosed compartment.