The nurse is evaluating outcomes from evidence-based interventions provided to a patient with chronic obstructive lung disease. Which outcome indicates that a positive change occurred in this patient?
1. Patient set a date to quit smoking.
2. Patient uses emergency bronchodilator every 4 hours.
3. Patient states that antibiotics are to be taken until all symptoms subside.
4. Patient explains that adverse effects of prescribed medications are to be expected.
Correct Answer: 1
When evaluating outcomes, the goal is positive changes in patient outcomes that impact healthcare quality. Smoking cessation in the patient with chronic obstructive lung disease would be a positive change that impacts the quality of healthcare. Using emergency bronchodilators indicates that the patient is poorly controlled. Stating that antibiotics are to be taken until symptoms subside indicates the need for additional teaching about infection control measures. Adverse effects of medications are not to be expected. This indicates that additional teaching is required.
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