Acute Coronary Syndrome (ACS) Nursing Care Plan Study Guide for Nursing Students

When a patient presents with chest pain and ECG changes, nurses must think fast. Acute Coronary Syndrome (ACS) demands immediate intervention — and strong nursing judgment can make all the difference.

This quick study guide breaks down priority nursing diagnoses, interventions, and outcomes so you can confidently create your care plan or prep for your NCLEX exam.

Assessment Checklist

  • Chest pain, often radiating to the left arm or jaw

  • Shortness of breath, anxiety, or restlessness

  • Diaphoresis, nausea, or vomiting

  • ECG showing ST changes

  • Elevated troponin levels

Nursing Care Plan #1 – Acute Pain

Nursing Diagnosis: Acute Pain related to myocardial ischemia
Interventions & Rationales:

  • Assess pain using a 0–10 scale to evaluate response to therapy.

  • Administer prescribed nitroglycerin and oxygen.

  • Maintain rest in semi-Fowler’s position.

  • Provide a calm environment to reduce anxiety.
    Desired Outcome:
    Pain is relieved and vital signs remain stable.

Nursing Care Plan #2 – Decreased Cardiac Output

Nursing Diagnosis: Decreased Cardiac Output related to impaired myocardial function
Interventions & Rationales:

  • Monitor heart rate and rhythm continuously.

  • Administer beta-blockers and ACE inhibitors as ordered.

  • Evaluate response to medications.
    Desired Outcome:
    Cardiac output and perfusion are maintained.

Nursing Care Plan #3 – Anxiety

Nursing Diagnosis: Anxiety related to fear and uncertainty
Interventions & Rationales:

  • Provide reassurance and frequent updates.

  • Allow family presence when appropriate.

  • Encourage relaxation techniques.
    Desired Outcome:
    Patient reports decreased anxiety and improved sense of control.

Study Tip

Need ready-made templates?
👉 Check out our Cardiac Care Plan Bundle — printable, editable, and perfect for your clinical assignments. (Available on NurseStudyNet.shop)

FAQ

1. What’s the top priority in managing ACS?
Oxygen, ECG monitoring, nitroglycerin, and notifying the provider immediately.

2. What should you teach your patient after discharge?
Medication adherence, diet changes, and when to seek medical help.

Peer-Reviewed References

  1. Lewis et al., Medical-Surgical Nursing, 12th ed.

  2. Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 15th ed.

  3. American Heart Association, 2023 Guidelines.

  4. Smeltzer & Bare, Brunner and Suddarth’s Nursing Care Plans.

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