A nurse is caring for a 69-year-old client who is recovering from health problems. The physiotherapist has prescribed ambulatory exercise, for which the nurse needs to monitor and assist the client
Which of the following would the nurse assess most closely in order to determine if the activity is beyond the tolerance level of the client? A) Heart rate
B) Oxygen saturation
C) Body temperature
D) Blood pressure
A
Feedback:
An increased heart rate in a client is an indication to the nurse that the activity is beyond the client's level of tolerance. The other vital signs are also important assessment parameters but heart rate is a priority assessment.
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