Nursing Rationale Intervention Rationale Evaluatio

Diagnosis n
Definition Independent: Goal met:
Activity after 8
Intolerance Insufficient 1. Assess 1. Dramatic hours of
related by endurance to cardiopulmonary changes nursing
pain to the complete required response to in heart interventi
surgical or desired daily physical activity, rate and on, the
site as activities. including vital rhythm, patient is
evidenced signs, before, changes able to at
by pain NANDA 16TH during, and after in usual least
scale EDITION activity. Note for blood increase
accelerating pressure, activity
Schematic fatigue. and with
Subjective Diagram: progressiv moderate
Cues: ely assistanc
“Nabudlaya worsening e.
n ko Pelvic fatigue
magiho” Endometriosis result
from an
Objective imbalance
Cues: of oxygen
 Weak supply
en and
Total Abdominal demand.
Hysterectomy with
Goals: Bilateral Salpingo-2. Assist with 2. To protect
After 8 Oophorectomy activities and client from
hours of (TAHBSO) provide/monitor injury
nursing clients use of
intervention, assistive devices
the patient
will be able
to at least Supraumbilical 3. Refer to 3. To sustain
increase Incision appropriate activity
activity with resources for level
moderate assistance
assistance and/or
equipment, as
needed.
Activity Intolerance (Abdominal
binder)

4. Ask 4. To identify
client/significant potential
other about problems
 usual level of and/or
energy client’s
perceptio
n of
client’s
energy
and ability
to perform
needed or
desired
activities.

5. Plan care to 5. To reduce

balance rest fatigue
periods with
activities

Dependent:

1. Identify and 1. Providing

discuss timely
symptoms for interventio
which the client n
needs to seek
medical
assistance/evalu
ation

2. Promote and 2. To
implement a prevent/li
conditioning mit
program. deteriorati
Support inclusion on
in exercise and
activity groups