Question

The nurse recognizes that client goals or outcomes should be documented according to specific criterion in order that they are clear and easily understood by other members of the health care team. Of the following, the outcome statement that best meets the established criteria is the following:

1. "Vital signs will return to within normal levels for a middle aged adult."
2. "Nursing assistant will ambulate the client in the hallway 3 times each day."
3. "Lungs will be clear to auscultation and respiratory rate will be 20/minute."
4. "Output will be at least 100 mL/hour of clear yellow urine within 24 hours."

Answer 1

Option 3 "Lungs will be clear to auscultation and respiratory rate will be 20/minute" best meets the criteria for a clear and easily understood outcome statement.

Step-by-step explanation:

The outcome statement that best meets the established criteria is option 3: "Lungs will be clear to auscultation and respiratory rate will be 20/minute." This outcome statement is specific, measurable, and easily understood by other members of the healthcare team. It clearly states the desired result, which is clear lungs and a respiratory rate of 20 breaths per minute. This outcome is objective and can be assessed by auscultating the lungs and counting the respiratory rate.