Thank you so much for taking the time to address my little problem. I finally decided that a Nursing Diagnosis of Decreased Cardiac Output more fit the symptoms this patient is having. So I kind of did what you suggested and addressed the symtoms, in a long, round about way. Unfortunately, at this point in our clinic experience, we review the charts the night before and can only visit our patient long enough to introduce ourselves. It is a little frustrating trying to come up with a care plan for a patient you have not yet assessed. However, my guess is that the instructors are trying to get us used to how to go about creating a care plan. Somehow I know that sentence could make better sense, but I have just packed in the books for the night and am too tired to think straight. Thank you again for your assistance.