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Nursing diagnosis
Activity intolerance r/t imbalance between oxygen supply and demand
rationale
goals
Short term: After 8 hrs of nursing intervention client will be able to verbalize understanding of the need to gradually increase activity based on tolerance and symptoms Long term: After 2 days on nursing intervention client will be able to demonstrate increased activity tolerance through participation of prescribed activity
Nursing intervention
rationale
evaluation
Su Subjective Cues: nakukurian na gu gud ako himu-on tak adlaw-adlaw na ginhihimo, kay baga pirmi man ak nanlulya ngan bagan enerhiya paghimo tak hirimuonas verbalized by the client Objective cues: V/S: BP: 100/70mmhg HR: 65bpm RR: 18cpm V/S in response to simple action such as going to CR BP: 120/80 HR: 80bpm RR: 26cpm Hct: Hgb: -exertional discomfort -electrocardiographic changes reflecting ischemia. -body weakness -Pallor -Complete bed rest.