A client with a nursing diagnosis of activity intolerance has developed reddened areas on both heels and his coccyx. Which of the following nursing interventions will most likely have the greatest impact on this diagnosis?
1. Ambulating him to the bathroom before returning to bed
2. Encouraging him to change position every 2 hours while in bed
3. Including active range-of-motion exercises in both AM and PM care
4. Planning a rest period after AM care but before walking to the dining room for lunch
ANS: 4
Rest periods will allow for the client to recuperate before expending additional energy. The re-maining options are more directed towards the skin breakdown problem.
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