The Nurse Is Preparing the Nursing Care Plan for a Middle-Aged

The nurse is preparing the nursing care plan for a middle-aged client admitted to the intensive care unit for acute myocardial infarction. The client's symptoms include tachycardia, palpitations, anxiety, jugular vein distention, and fatigue. Which of the following nursing diagnoses is most appropriate?

A) Decreased Cardiac Output
B) Impaired Tissue Perfusion
C) Impaired Cardiac Contractility
D) Impaired Activity Tolerance