The nurse develops long-term and short-term outcomes for a client ...

[imowrer]

The nurse develops long-term and short-term outcomes for a client admitted with asthma. Which of the following is an example of a long-term goal?
 
  A) Client returns home verbalizing an understanding of contributing factors, medications, and signs and symptoms of an asthma attack.
  B) By day 3 of hospitalization, the client verbalizes knowledge of factors that exacerbate the symptoms of asthma.
  C) Within one hour of a nebulizer treatment, adventitious breath sounds and cough are decreased.
  D) Within 72 hours of admission, the client's respiratory rate returns to normal and retractions disappear.

Question 2

Which of the following reflects the diagnosis phase?
 
  A) The nurse identifies that the client does not tolerate activity.
  B) The nurse performs wound care using sterile technique.
  C) The nurse sets a tolerable pain rating with the client.
  D) The nurse documents the client's response to pain medication.

[lgoldst9]

Answer to Question 1

Ans: A

An example of a long-term outcome is Patient returns home verbalizing an understanding of contributing factors, medications, and signs and symptoms of an asthma attack. The other three examples are short-term outcomes that focus on short-term goals related to the period of time during hospitalization.

Answer to Question 2

Ans: A

Recognition of a client health problem that can be prevented or resolved by independent nursing intervention, such as activity intolerance, is the focus of diagnosing. Performing wound care is an example of implementation. Setting a tolerable pain rating with the client is an example of planning. Documenting the client's response to pain medication is an example of evaluation.