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Risk For Activity Intolerance

Activity intolerance is a state in which an individual has insufficient physiologic or psychological energy to endure or complete required or desired daily activities which may be is caused by Increased blood pressure and blood viscosity.
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0% found this document useful (0 votes)
1K views

Risk For Activity Intolerance

Activity intolerance is a state in which an individual has insufficient physiologic or psychological energy to endure or complete required or desired daily activities which may be is caused by Increased blood pressure and blood viscosity.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Problem: Abnormal BP

Nursing Diagnosis: Risk for activity intolerance RT stage 2 hypertension

NURSING CARE PLAN


Assessment Nursing Diagnosis Inference Planning Intervention Rationale Evaluation

Subjective Risk for activity Activity intolerance is 10/11/2021 Monitor heart rate, rhythm, Changes in VS assist with 10/11/2021
intolerance relate a state in which an 7:30AM-3:30PM respirations and blood monitoring physiologic 7:30AM-3:30PM
-Does not d to stage 2 individual has pressure especially for responses to increase in
smoke hypertension insufficient The patients vital signs abnormalities. Notify activity. Goal met.
physiologic or will be monitored. physician of significant
-10-12 units psychological energy changes in VS. After 8 hours of
of alcohol a to endure or The patient will be nursing intervention,
week complete required or asses for the risk of Asses usual daily activities of This may suggest extent of the patient was bale
desired daily activity intolerance. patient vs. tolerated activities. immobility/ mobility as to demonstrate low
Objective activities which may affected. by the weakness will risk of activity
be is caused by The patient will be ‘ also serve as data where intolerance.
RR= 72 Increased blood able to perform interventions will be based.
beats/minute pressure and blood activities of daily living
BP= viscosity. independently.
158/94mmH Asses muscle strength Muscle strength may suggest
g The patient will be the extent of weakness of
able to participate in patient, will also serve as basis
self-care activities for planning of progress.
within level of
tolerance. Assess laboratory results Data may serve as baseline
data for progress of
interventions, as well as it will
help determine extent of
severity of condition.
Monitor vital signs before, Changes in the vital signs are
during and after activities. good indicators of the response
of the patient to interventions
and increasing physical
tolerance.

Encourage the patient to To help him sustain an


continuously perform optimum level of functioning
activities within the level of while maintaining safety. And
tolerance, increasing intensity also helps promote a sense of
gradually. autonomy while being realistic
about capabilities.

Encourage verbalization of This is very helpful in nurse


feelings patient communication and
development of appropriate
nursing care.

Educate the patient about This is to help patient be aware


their condition and the about their conditions, be able
measures to treat their to help their selves recover
conditions. immediately, and be able to
participate in their
medications.

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