Difficulty: Medium
Average Score: 71%
Simulated
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, 'I can feel the congestion in my lungs, and I certainly cough a lot, but I canÔÇÖt seem to bring anything up.' Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?
Correct answer
C
Rationale
The correct answer is C: Encouraging the client to drink 2 to 3 L of water daily. Increasing fluid intake helps to thin bronchial secretions, making them easier to expectorate. This is especially important for clients with COPD who have difficulty clearing their airways. A low-salt diet (A) is not directly related to managing bronchial secretions. Administering oxygen (B) is important for COPD patients, but it does not specifically address the issue of thick secretions. Maintaining a semi-Fowler's position (D) can help with breathing but does not directly address the issue of tenacious secretions.