The expected outcome that best evaluates the presurgical goal of, "Client will understand pur-pose of coughing and deep breathing within 4 hours of returning to room" is:
1. Client will demonstrate proper technique for coughing and deep breathing
2. Client will cough and deep breathe every 1 hour while awake without staff prompting
3. Client is capable of restating the purpose of coughing and deep breathing in own words
4. Client's lungs will be free of abnormal breath sounds within 1 hour of being re-turned to room
ANS: 2
An expected outcome is a criteria designed to evaluate the achievement of the stated goal. This option best represents evaluation of the client's understanding of the purpose of deep breathing and coughing because it shows appropriate compliance. Although demonstration evaluates the proper technique, it is not the best option to evaluate understanding of purpose. Although re-statement evaluates understanding, it is not the best option to evaluate understanding of purpose because it does not include client compliance. The client's lungs being free of abnormal breath sounds within 1 hour is more reflective of a goal than of an expected outcome.
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