Page 15 - PNEUMONIA NURSING CARE PLAN
P. 15
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ACTIVITY INTOLERANCE
The nursing diagnosis Activity Intolerance is related to decreased oxygen levels for metabolic
demands. For these pneumonia nursing care plans, energy reserves are also depleted due to
insufficient intake of food during periods of dyspnea.
Related Factors
• Imbalance between oxygen supply and demand
• General weakness
• Exhaustion associated with interruption in usual sleep pattern because of discomfort, excessive coughing, and
dyspnea
Assessment
• Verbal reports of weakness, fatigue, exhaustion
• Exertional dyspnea, tachypnea
• Tachycardia in response to activity
• Development/worsening of pallor/cyanosis
Goals and expected outcomes
• Report/demonstrate a measurable increase in tolerance to activity with absence of dyspnea and excessive fatigue,
and vital signs within patient’s acceptable range.
Nursing Interventions and Rationales
Nursing interventions for activity intolerance in this pneumonia nursing care plan should include
assessment of the client’s baseline activity level and response to activity and noting how well the client
tolerates activity. Next is to schedule activities after treatment or medications and providing
emotional support and a quiet environment to reduce anxiety and promote rest.
Nursing Interventions Rationale
Assessment
Determine patient’s response to activity. Note Establishes patient’s capabilities and needs
reports of dyspnea, increased weakness and fatigue,
changes in vital signs during and after activities. and facilitates choice of interventions.
Therapeutic Interventions
Provide a quiet environment and limit visitors
during acute phase as indicated. Encourage use of Reduces stress and excess stimulation,
stress management and diversional activities as promoting rest
appropriate.
Bedrest is maintained during acute phase
to decrease metabolic demands, thus
Explain importance of rest in treatment plan and conserving energy for healing. Activity
necessity for balancing activities with rest. restrictions thereafter are determined by
individual patient response to activity and
resolution of respiratory insufficiency.
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