The nurse is collaboratively setting goals for the inpatient management of new-onset asthma in a child. The nurse prioritizes the client's nursing diagnoses and gives which goal the highest priority?
1. The client will report improved ease of breathing by discharge.
2. The client will sleep uninterrupted for four hours at a stretch every night during admission.
3. The client's parents will verbalize the importance of the medication regimen by discharge.
4. The client's mother will correctly demonstrate the use of an inhaler with a spacer by discharge.
Correct Answer: 1
Rationale 1: The goal with the highest priority is for the medication to be effective in a specific, measurable way.
Rationale 2: Achieving normal sleep is a good goal, but many children sleep from exhaustion.
Rationale 3: Understanding the importance of the medication regimen is important but not the top priority.
Rationale 4: The client's mother needs to learn the appropriate use of the inhaler with a spacer by discharge, but this is not the highest priority.
Global Rationale: The goals of asthma pharmacotherapy are twofold: to terminate acute bronchospasms and to prevent or reduce the frequency of asthma attacks. A direct report from the client regarding easy of breathing is the best measure of this goal. Sleep and correct use of an inhaler are desired outcomes, but do not have highest overall importance.
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