Following an assessment of the client, the nurse identifies the nursin

Following an assessment of the client, the nurse identifies the nursing diagnosis activity intoler-ance related to increased weight gain and inactivity. An outcome identified by the nurse should be:

1. Resting heart rate will be 90 to 100 beats/minute
2. Blood pressure will be maintained between 140/80 and 160/90 mm Hg
3. Exercise will be performed 3 to 4 times over the next 2 weeks
4. Achievement of a rating of 3 for activity endurance

ANSWER

ANS: 3
An appropriate outcome for activity intolerance related to increased weight gain and inactivity is that the client will perform exercise 3 to 4 times over the next 2 weeks. This outcome is realistic, measurable, and addresses the problem. A resting heart rate of 90-100 beats/minute is too high, and it does not address the need to increase activity. This outcome does not state whether this blood pressure is at rest or after exercising. It also does not address the need to increase activity. A more appropriate outcome is that the client will increase his or her activity (over the next 2 weeks).