An older adult client with heart failure is experiencing activity intolerance due to dyspnea on exertion. Which nursing intervention is a priority for the client?
A) Complete all nursing care at the end of the shift.
B) Delegate care for the client to an aide.
C) Complete all nursing care in the morning.
D) Pace nursing care throughout the shift.
Answer: D
The client with little energy reserve is best served by pacing care throughout the shift to allow for rest periods between activities. Completing all care at once can hurt the client's ability to heal by tiring the client too severely. Delegating care does not help the client to conserve energy. Waiting until the end of the shift would have the same effect as doing all care in the morning. The key is not to overtax the client's reserves at any time during the shift.
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