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A Goal Statement in a Client's Care Plan States: Client

Question 17

Multiple Choice

A goal statement in a client's care plan states: Client will have clear lung sounds bilaterally within three days.One of the interventions is to teach the client to cough and deep breathe every 2 hours.By the third day,the client's lungs are clear.To relate the intervention to the outcome,what should the nurse do?


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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