Activity Intolerance

Nursing Care Plan for Hypertension

Nursing Diagnosis: Activity intolerance may be related to generalized weakness or imbalance between oxygen supply and demand.

Possibly evidenced by

Verbal report of fatigue or weakness

Abnormal heart rate or BP response to activity

Exertional discomfort or dyspnea

ECG changes reflecting ischemia, dysrhythmias

Desired Outcomes/Evaluation Criteria—Client Will

Endurance

Participate in necessary and desired activities.

Report a measurable increase in activity tolerance.

Demonstrate a decrease in physiological signs of intolerance.

Nursing Care Plan Intervention and Rationale:

1. Assess the client’s response to activity, noting pulse rate more than 20 beats per minute faster than resting rate; marked increase in BP (systolic increases more than 40 mm Hg or diastolic increases more than 20 mm Hg) during and after activity, dyspnea or chest pain, excessive fatigue and weakness, and diaphoresis, dizziness, and syncope.

Rationale: Changes in baseline are helpful in assessing physiological responses to the stress of activity and, if present, are indicators of overexertion.

2. Instruct client in energy-conserving techniques, such as using chair when showering, sitting to brush teeth or comb hair, and carrying out activities at a slower pace.

Rationale: Energy-saving techniques reduce the energy expenditure, thereby assisting in equalization of oxygen supply and demand.

3. Encourage progressive activity and self-care when tolerated. Provide assistance as needed.

Rationale: Gradual activity progression prevents a sudden increase in cardiac workload. Provide assistance only as needed, which encourages independence in performing activities.