The patient weighs 450 lbs (204.5 kg) and reports shortness of breath with any exertion. The health care provider has recommended beginning an exercise program. The patient states that she can hardly get out of bed and just cannot do anything around the house. Which nursing diagnosis will the nurse add to the care plan?
A) Activity intolerance related to excessive weight
B) Impaired physical mobility related to bed rest
C) Imbalanced nutrition: less than body requirements
D) Impaired gas exchange related to shortness of breath

Question

Quizplus · Accepted Answer

In this case, activity intolerance is related to the patient's excessive weight. The patient is not on bed rest although claims that it is difficult to get out of bed, making this diagnosis inappropriate. Shortness of breath is a symptom, not a cause, of Impaired gas exchange, making this nursing diagnosis ineffective. The patient certainly has an imbalance of nutrition, but it is more than body requirements (obesity).

The Patient Weighs 450 Lbs (204