A client shares with the nurse that they have, “almost reached the goal of smoking only one-half pack of cigarettes a day.” The best example of a nursing intervention to correct this unmet out-come is:
1. Discuss with the client the desire to comply with the ordered therapy
2. Suggest that the client use another smoking cessation tool to achieve the goal
3. Reevaluate the time frame originally decided upon for achievement of the goal
4. Suggest that the strength of the prescribed nicotine patches be increased to 21 mg
ANSWER
ANS: 4
An unmet outcome reveals the client has not responded to interventions as planned. As a result, the nurse changes the plan of care by trying different therapies or changing the frequency or ap-proach of existing therapies. The best option is one that adds to the existing therapy. The remain-ing options should have been explored as a part of the goal-setting process or exercised if the current therapy proves ineffective.
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