A female patient is diagnosed with an acute myocardial infarction (MI). The patient is a young mother with two children and works full time as a secretary. When planning care for this patient, which of the following nursing diagnoses would the nurse identify as the priority diagnosis?

Ineffective tissue perfusion


•The patient experiencing an acute MI is experiencing ineffective tissue perfusion resulting in cardiac ischemia or necrosis. This is the priority diagnosis because, if this is not resolved, death may result from cardiac damage or complication of the MI.

Incorrect answer choices:

•Ineffective role performance and impaired parenting are appropriate nursing diagnoses for this patient; however, these are not the priority diagnoses.

•There is no evidence of potential low self-esteem in this patient.

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