137) ANSWER
A) Space interventions and encourage rest periods.
RATIONALE
Activity intolerance in clients with anemia
results from the imbalance between oxygen demand and supply. Activities should
be planned to intersperse activity with periods of rest to decrease hypoxemic
episodes and to decrease tissue demand for oxygen. All the other options are
appropriate interventions for a client with anemia, but they do not relate to
the nursing diagnosis of activity intolerance. The core issue of the question
is knowledge that anemia causes fatigue and that measures to prevent fatigue
need to be incorporated in the plan of care. Use this knowledge and the process
of elimination to make a selection.
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