The nurse is planning care for a client experiencing dyspnea and a subsequent activity intolerance. Which action by the nurse is the most appropriate?
A) Encourage strenuous activity.
B) Consult a dietitian for low-calorie meals.
C) Consult physical therapy for endurance and musculoskeletal function.
D) Encourage dependence with activities of daily living.
Answer: C
The client with shortness of breath will experience activity intolerance due to a lack of oxygen and fatigue. The nurse should consult with physical therapy for endurance and musculoskeletal function. Clients with respiratory disorders often need an increase, not a decrease, in calories to maintain body functions. The client will be weak, so the nurse should not encourage strenuous activity. The nurse would want the client to be as independent as possible and would not encourage dependence with activities of daily living. It will often be appropriate to cluster this client's care to allow for periods of rest.
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