An infant in the NICU has persistent pulmonary hypertension. The nurse places highest priority on which of the following nursing diagnoses?

A.
Ineffective tissue perfusion: cardiopulmonary
B.
Ineffective tissue perfusion: cerebral
C.
Ineffective tissue perfusion: peripheral
D.
Ineffective tissue perfusion: neurovascular


ANS: A
Persistent pulmonary hypertension has a right-to-left shunting of blood across the foramen ovale and through the ductus arteriosus of the heart. Therefore, the appropriate nursing diagnosis prioritizes the cardiovascular and pulmonary systems.

Nursing

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