A student nurse is assigned to care for a cardiac patient ad…
A student nurse is assigned to care for a cardiac patient admitted with an acute myocardial infarction. Inspection of the client is performed, and the findings are listed below. Temperature – 98.6F Heart Rate – 58 – regular – 1+ pulse Respiratory Rate – 20 – regular and moderate depth Blood Pressure – 100/70 SPO2 97% Pain 10/10 – Chest pain Client is alert and oriented x4, following commands and answering questions appropriately. Lungs are clear, pulses are 1+, capillary refill is greater than 2 seconds, bowel sounds are present, voids without difficulty, and muscle strength bilaterally to the upper and lower extremities is 5+. After completing the assessment and reviewing the data, what is an appropriate nursing diagnosis for this client?