The nurse is caring for a client who has long-standing chronic obstructive pulmonary disease (COPD)and is recovering from a stroke.Which intervention is a priority when activity tolerance is assessed during rehabilitation?

Question

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To see whether a client is tolerating activity,vital signs are measured before,during,and after the activity.If the client is not tolerating activity,heart rate may increase more than 20 beats/min,blood pressure may increase over 20 mm Hg,and vital signs will not return to baseline within 5 minutes after the activity.A cognitive assessment is not necessary before basic activities are performed.A consultation would not provide data on activity tolerance,and monitoring of self-care ability does not directly reflect tolerance as vital signs do.

The Nurse Is Caring for a Client Who Has Long-Standing