Question

A client is in cardiogenic shock after a myocardial infarction (MI). Which of the following is a correctly stated nursing diagnosis for the client?

1) Activity intolerance: related to impaired oxygen transport.
2) Altered tissue perfusion related to decreased heart-pumping action.
3) Altered cardiac output related to cardiac ischemia.
4) Potential fluid volume deficit related to decreased intake.

Answer 1

The correctly stated nursing diagnosis for a client in cardiogenic shock after an MI is Altered tissue perfusion related to decreased heart-pumping action.

Step-by-step explanation:

The correctly stated nursing diagnosis for a client in cardiogenic shock after a myocardial infarction (MI) would be Altered tissue perfusion related to decreased heart-pumping action.

1. Activity intolerance: related to impaired oxygen transport - Activity intolerance is a broad diagnosis that refers to a decrease in the ability to perform physical activities. While impaired oxygen transport is a factor in cardiogenic shock, it does not specifically address the decreased heart-pumping action.
2. Altered tissue perfusion related to decreased heart-pumping action - This diagnosis accurately reflects the underlying issue in cardiogenic shock, which is the heart's inability to maintain adequate cardiac output, resulting in reduced blood flow to the body's tissues.
3. Altered cardiac output related to cardiac ischemia - While ischemia, or reduced blood flow, is a factor in cardiogenic shock, altered cardiac output does not specifically address the decreased heart-pumping action in this case.
4. Potential fluid volume deficit related to decreased intake - Fluid volume deficit may be a concern in some cases of shock, but it does not sufficiently capture the specific issues involved in cardiogenic shock after an MI.