单选题
A priority nursing diagnosis during the first 24 hours following an MI is A. Ineffective cardiac tissue perfusion. B. Risk for infection. C. Deficient fluid volume. D. Constipation.
【正确答案】
A
【答案解析】Ineffective Cardiac Tissue Perfusion related to myocardial damage and inadequate cardiac output is a major problem immediately after a heart attack. Therapy is directed toward improving cardiac output and decreasing myocardial workload.