Difficulty: Medium
Average Score: 88%
Simulated
The nurse, who is caring for a client diagnosed with coronary artery disease, prioritizes the problem of impaired Tissue Perfusion into the plan of care. Which expected outcome would be most appropriate? The client will:
Correct answer
A
Rationale
The correct answer is A: express no complaints of chest discomfort or shortness of breath. Impaired Tissue Perfusion in coronary artery disease can lead to inadequate blood flow to the heart muscle, causing chest discomfort and shortness of breath. Therefore, the expected outcome of the client expressing no complaints indicates adequate tissue perfusion, which is the priority in this case.
Choice B is incorrect because discussing lifestyle modifications is important but not directly related to the priority of impaired tissue perfusion. Choice C is incorrect as clear breath sounds do not directly indicate tissue perfusion in the coronary arteries. Choice D is incorrect as urinary output is not directly related to tissue perfusion in coronary artery disease.
Choice B is incorrect because discussing lifestyle modifications is important but not directly related to the priority of impaired tissue perfusion. Choice C is incorrect as clear breath sounds do not directly indicate tissue perfusion in the coronary arteries. Choice D is incorrect as urinary output is not directly related to tissue perfusion in coronary artery disease.