Question

Develop a minimum of 2 active nursing diagnoses. These should have 1 short term and 1 long term goal for each nursing diagnosis. It needs to specify 2 interventions for each goal and at least one intervention must be a teaching intervention. The medical diagnosis is Angina.

Answer 1

Nursing care plan for Angina patient:-

Assessment	Nursing diagnosis	Goal	Nursing interventions	Rationale	Evaluation/Outcome
Subjective data: Chest pain, pain radiating to left arm Objective data: Increased sweating, tachycardia, increased blood pressure	Acute pain related impaired blood supply to the myocardium as evidenced by reports of pain vary in intensity, frequency and severity	Short term goal: Reduce pain Long term goal: Improve blood supply to myocardium	Instruct patient to notify nurse immediately when chest pain occurs. Assess the signs and symptoms Place patient at complete rest during anginal episodes. Elevate head of bed if patient is short of breath. Provide supplemental oxygen as indicated. Give sublingual isosorbide dinitrate	To know the patient condition Facilitates gas exchange to decrease hypoxia and resultant shortness of breath. Increases oxygen available for myocardial uptake and reversal of ischemia. Rapid vasodilator effect lasts 10–30 min and can be used prophylactically to prevent, as well as abort, anginal attacks.	Evaluate thr patient for severity of pain, is it reduced or not.
Anxiety	Death anxiety related to cardiac symptoms.	Short term goal: Reduce anxiety Long term goal: Survive the patient	Explain the patient and providing information about the illness, its treatment, and methods of preventing its progression are important nursing interventions. Provide psychological and spiritual support.	It helps to realize the patient regarding their own condition. Provides confidence to the patient	Evaluate the level of anxiety.