A client has a nursing diagnosis of Activity Intolerance related to fatigue and weakness. Which of the following would be appropriate for the nurse to include in the client's plan of care?
A) Encouraging ambulation as tolerated
B) Maintaining bed rest as much as possible
C) Mandating the use of assistive devices
D) Encouraging activities early in the morning when fatigue is less
E) Promoting rest periods throughout the day as necessary
Ans: A, E
Feedback:
The client is encouraged to walk and ambulate as he or she can tolerate. Assistive devices may be used if needed, but these should not be mandated for use. The client can gradually increase tolerance by increasing the daily amount of activity. Planning rest periods according to the individual's tolerance is appropriate. Rest can take many forms, such as sitting in a chair, napping, watching television, or sitting with legs elevated.
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