A Client Has the Goal Statement "Client Will Have Clear

question 9

Multiple Choice

A client has the goal statement "Client will have clear lung sounds bilaterally within 3 days." One intervention to meet this goal is for the nurse to teach the client to cough and deep breathe and have the client do this several times every 2 hours.At the end of the third day,the client's lungs are indeed clear.What should the nurse do to relate the intervention to the outcome?

• A)Ask how many times per day the client practiced the coughing and deep breathing exercises.
• B)Tell the client that the lungs are clear.
• C)Document the assessment findings to show the effectiveness of the intervention.
• D)Write this evaluation statement: Goal met,lung sounds clear by third day.

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