St.

Paul University Philippines

Tuguegarao City, Cagayan 3500
School of Nursing and Allied Health Sciences
COLLEGE OF NURSING
Center of Excellence for Nursing
PAASCU LEVEL IV Accredited
First Semester, AY. 2022 – 2023

Nursing Diagnosis: ACTIVITY INTOLERANCE

ASSESSMENT/ NURSING BACKGROUND GOAL AND OBJECTIVES NURSING INTERVENTIONS AND EVALUATION
CUES DIAGNOSIS KNOWLEDGE RATIONALE

Subjective: Activity According to NOC: Activity Tolerance NIC: Energy Management At the end of the nursing interventions,
(+) Right sided Intolerance NANDA, Activity
GOAL: THE GOAL WAS MET
body weakness related to Intolerance is
decrease muscle defined as the After the nursing interventions, the As evidenced by:
Objective: strength and insufficient patient will be able to demonstrate
(+) Somnolence control secondary physiological or  ?
habits that assist in improving
BP: 130/80 mmHg to right sided psychological  ?
02Sat: 95% tolerance to activities.
paralysis energy to endure or The nurse:
RR: 18 bpm complete required OBJECTIVES:
PR: 64 bpm or desired daily 1.1. Monitored vital signs,
1. Monitor health status. OBJECTIVES:
activities. electrolyte levels and as well
Potassium: 3.30 After (?) hours of nursing interventions
as intake and output.
mmol/L the px was able to:
To obtain baseline data
1. Text here

2. Demonstrate ways to enhance 2.1 Provided a quiet and calm

tolerance to activities. environment, and adequate
bed rest. To prevent fatigue
 and lessen stimuli.

2.2 Encouraged use of deep

breathing technique during
ambulation.
This is a form of relaxation
technique helps maximize and
conserve energy.

3.1 Emphasized the use of

3. Describe adaptive techniques
to perform activities of daily
living.
assistive devices such as
wheelchair, walkers, and
holders to enhance mobility
and ensure safety.
To ensure patient’s mobility
and safety during the
performance of ADLs and
exercise.

4. Educated about the

4. Identify the factors that
aggravate decreased tolerance
to activity.
importance of adequate bed
rest, nutrition, and exercise.
This is to inform that recovery
also requires participation to
good lifestyle choices.
5. Follow prescribed 5. Instructed to strictly adhere
pharmacological regimen. to prescribed medication.
To ensure recovery and avoid
complications