Asked by Matthew Torres on May 06, 2024
Verified
The patient weighs 450 lbs (204.5 kg) and reports shortness of breath with any exertion. The health care provider has recommended beginning an exercise program. The patient states that she can hardly get out of bed and just cannot do anything around the house. Which nursing diagnosis will the nurse add to the care plan?
A) Activity intolerance related to excessive weight
B) Impaired physical mobility related to bed rest
C) Imbalanced nutrition: less than body requirements
D) Impaired gas exchange related to shortness of breath
Activity Intolerance
A condition or state where an individual has insufficient physiological or psychological energy to endure or complete required or desired daily activities.
Excessive Weight
Carrying more body weight than is considered healthy for a given height, which can increase the risk of various health issues.
Shortness of Breath
An uncomfortable condition where an individual finds it difficult to breathe or catch their breath.
- Evaluate and address activity intolerance and its effects on patient health.
Verified Answer
BS
Blake SimmonsMay 08, 2024
Final Answer :
A
Explanation :
In this case, activity intolerance is related to the patient's excessive weight. The patient is not on bed rest although claims that it is difficult to get out of bed, making this diagnosis inappropriate. Shortness of breath is a symptom, not a cause, of Impaired gas exchange, making this nursing diagnosis ineffective. The patient certainly has an imbalance of nutrition, but it is more than body requirements (obesity).
Learning Objectives
- Evaluate and address activity intolerance and its effects on patient health.