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Activity Intolerance

The nursing care plan addresses a patient with activity intolerance related to low blood pressure and generalized weakness. The plan includes monitoring vital signs hourly, spacing and adjusting activities based on tolerance, elevating the head of the bed, gradually increasing passive range of motion exercises, encouraging rest periods, and assisting with administering bronchodilators. The evaluations found the patient was tolerating interventions and reporting increased activity tolerance and energy levels.

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2K views2 pages

Activity Intolerance

The nursing care plan addresses a patient with activity intolerance related to low blood pressure and generalized weakness. The plan includes monitoring vital signs hourly, spacing and adjusting activities based on tolerance, elevating the head of the bed, gradually increasing passive range of motion exercises, encouraging rest periods, and assisting with administering bronchodilators. The evaluations found the patient was tolerating interventions and reporting increased activity tolerance and energy levels.

Uploaded by

ayra_alegre
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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NURSING CARE PLAN

Nursing diagnosis #3: Activity Intolerance related to imbalance in oxygen supply


and demand as evidenced by generalized body weakness and low blood pressure

Goal: To restore tolerance to activity

Expected Outcomes: At the end of 8 hours shift, the client will be able to:

a)Report increase in activity tolerance


b) Eliminate the factors that lead to activity intolerance
c)Participate willingly in necessary and desired activities

Nursing Interventions Nursing Evaluations


Promotive/ Preventive

1. Monitor vital signs hourly Latest vital signs as of January 28,2010


Rationale:. To serve as a baseline in are as follows:
the possible activities that the patient Temperature of 35.8 ºC, Respiratory rate of
can tolerate 17 cpm , Pulse rate of 85 bpm and Blood
pressure of 80/60 mmHg.

2. Adjust and space nursing activities Patient was able to rest between activites
according to patient’s tolerance such as bed bath and internal jugular vein
Rationale: To prevent overexertion insertion

3. Elevate the head part of the bed to Patient was able to tolerate the position and
semi-Fowlers to High-Fowlers verbalized preference for such position
position.
Rationale: To promote physiological
and psychological ease of maximal
inspiration.

4. Increase levels of activity gradually Patient was able to tolerate passive range
such as passive range of motion of motion exercises and verbalized increase
exercises but take note to also conserve in energy after doing the exercises
energy
Rationale: To promote circulation and
oxygenation

5. Encourage to have enough rest for 2-3 Maintained in complete bed rest. Well-
hours and limit activities to level of rested
respiratory tolerance.
Rationale: To prevent fatigue.
NURSING CARE PLAN

Curative

6. Assisted in administering Patient was able to verbalize more


bronchodilators as ordered tolerance to activities after the
Rationale: To promote oxygenation administration of medications

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