The nurse determines that a patient recovering from an acute MI is experiencing activity intolerance. What findings did the nurse use to come to this conclusion? (Select all that apply.)
a. Dizziness
b. Extreme diaphoresis
c. Nausea and vomiting
d. Heart rate 140 beats per minute
e. 35 mm Hg increase in systolic blood pressure
ANS: A, B, D, E
Abnormal responses to activity include heart rate over 120 bpm or 20 beats over resting rate, systolic BP increased over 20 mm Hg during activity, chest pain, dizziness, skin color changes, diaphoresis, dyspnea, dysrhythmias, excessive fatigue, and ST-segment changes on ECG. C. Nausea and vomiting are not manifestations of activity intolerance.
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