The nurse has determined that a client reporting general fatigue is experiencing activity intoler-ance. Which of the following assessment findings, observed after the client ambulates to the bathroom, best confirms this nursing diagnosis?
1. Dyspnea
2. Diaphoresis
3. Hypotension
4. Mental confusion
ANS: 1
Further review of assessed defining characteristics (e.g., abnormal heart rate or dyspnea) will possibly lead to the definitive diagnosis (activity intolerance). The remaining options may be a result of other factors.
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