Which nursing diagnosis is appropriate at this time? A client comes to the emergency department with chest pain, dyspnea, and an irregular heartbeat. An electrocardiogram shows a heart rate of 110 beats/minute (sinus tachycardia) with frequent premature ventricular contractions. Shortly after admission, the client has ventricular tachycardia and becomes unresponsive. After successful resuscitation, the client is taken to the intensive care unit.
A. Deficient knowledge related to interventions used to treat acute illness B. Impaired physical mobility related to complete bed rest C. Social isolation related to restricted visiting hours in the intensive care unit D. Anxiety related to the threat of death
The correct answer to this question is D. This client would be experiencing anxiety related to the threat of death. This diagnosis is appropriate because the client's anxiety can adversely affect heart rate and rhythm by stimulating the autonomic nervous system.
the threat of death is a real and immediate concern due to the fact that they required resuscitation. Anxiety has to be dealt with first, or the client's emotional state will impede learning.
To reduce anxiety and promote cooperation, the nurse should stick to clear and concise explanations when addressing the client. This diagnosis by the surgical nurse is not considered a problem due to the type of care that the clients need in terms of their anxiety.
Anxiety related to the threat of death-anxiety related to the threat of death is an appropriate nursing diagnosis because the clients anxiety can adversely affect hear rate and rhythm by stimulating the autonomic nervous system. also, because the client required resuscitation, the threat of death is a real and immediate concern. unless anxiety is dealt with first, the clients emotional state will impede learning. client teaching should be limited to clear concise explanations that reduce anxiety and promote cooperation. an anxious client has difficulty learning, so the deficient knowledge would continue despite attempts teaching. impaired physical mobility and social isolation are necessitated by the clients critical condition; therefore, they arent considered problems warranting nursing diagnoses.