Question

A patient was recently diagnosed with pneumonia. The nurse and the patient have established a goal that the patient will not experience shortness of breath with activity in 3 days with an expected outcome of having no secretions present in the lungs in 48 hours. Which evaluative measure will the nurse use to demonstrate progress toward this goal?

a. No sputum or cough present in 4 days
b. Congestion throughout all lung fields in 2 days
c. Shallow, fast respirations 30 breaths per minute in 1 day
d. Lungs clear to auscultation following use of inhaler

Answer 1

The nurse will use the evaluative measure of lungs clear to auscultation following use of inhaler to demonstrate progress toward the goal.

Step-by-step explanation:

The nurse will use the evaluative measure of lungs clear to auscultation following use of inhaler to demonstrate progress toward the goal of the patient not experiencing shortness of breath with activity and no secretions present in the lungs.

This measure assesses the patient's lung function and whether there are any abnormal sounds present in the lungs. If the lungs are clear to auscultation, it indicates improved respiratory function and the absence of secretions.