The nurse is assessing the effectiveness of interventions provided to a client with chronic obstructive pulmonary disease (COPD). Evidence that care has been effective would be:

Question

1. Client leaves hospital unit to smoke outside 4 times a day.
2. Client needs assistance with morning care and meals due to shortness of breath.
3. Client states family members would prefer he was admitted to a nursing home for continuing care.
4. Client conducts morning care and ambulates in room while maintaining an oxygen saturation of 92% on room air per oximetry reading.

Answer 1

4. Client conducts morning care and ambulates in room while maintaining an oxygen saturation of 92% on room air per oximetry reading.

Rationale:
Evidence that interventions provided to a client with COPD were successful would be the client conducting morning care and ambulating in the room while maintaining an oxygen saturation of 92%. This outcome identifies the client's ability to maintain adequate oxygenation and perform activities of daily living. The client leaving the unit to smoke suggests that the interventions were ineffective. The client who needs assistance with morning care and meals because of shortness of breath needs additional interventions. The client who states that his family would prefer he go to a nursing home may or may not have been positively affected by the interventions; not enough information is provided to know.