Acute Coronary Syndrome and MI Care · NCLEX Exam

Which nursing diagnosis is the immediate physiological priority for a patient in the acute phase post-MI?

  1. Activity intolerance related to deconditioning
  2. Acute pain related to myocardial ischemia
  3. Fear related to perceived threat of death
  4. Anxiety related to an unfamiliar care environment
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Correct answer: Acute pain related to myocardial ischemia

In the acute phase, relieving ischaemic chest pain is the immediate physiological priority because ongoing pain reflects continuing ischaemia and increases myocardial oxygen demand. Psychosocial and activity diagnoses are addressed once the physiological threat is controlled.

Difficulty: Medium Question 18 of 20

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