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A Patient Admitted to the Critical Care Unit (CCU)with an MI

Question 8

Multiple Choice

A patient admitted to the critical care unit (CCU) with an MI has a physician's orders for continuous amiodarone (Cordarone) infusion,intravenous (IV) nitroglycerin,and morphine sulphate 2 mg IV every 5 minutes until relief of pain occurs,in addition to the standard CCU protocol.The patient is having frequent,multifocal premature ventricular contractions,and he tells the nurse that the pain is worse than he has ever had and asks if he is going to die.On admission to the CCU,the nurse identifies which of the following nursing diagnoses as a priority?


A) Acute pain related to myocardial ischemia
B) Anxiety related to perceived threat of death
C) Decreased cardiac output related to cardiogenic shock
D) Activity intolerance related to decreased cardiac output

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