Difficulty: Medium
Average Score: 82%
Simulated
A nurse is caring for a client with a medical diagnosis of acute exacerbation of chronic obstructive pulmonary disease (COPD). The client's assessment reveals a respiratory rate of 28/min, SpO2 at 90%, and complaints of mild dyspnea and anxiety at rest. What should the nurse include in the client's discharge teaching plan?
Correct answer
B
Rationale
The correct answer is B: Instructions on pursed-lip breathing. Pursed-lip breathing helps with COPD by improving breathing efficiency, decreasing respiratory rate, and reducing dyspnea. It also helps to keep airways open longer, allowing for better oxygen exchange. This technique is essential for managing COPD symptoms and should be included in the client's discharge teaching plan.
Other choices are incorrect:
A: Using bronchodilators every 2 hours as needed can lead to overuse and potential side effects. It is not a recommended strategy for managing COPD.
C: Increasing home oxygen without healthcare provider guidance can be dangerous and worsen the client's condition.
D: Huff coughing is not typically used for managing dyspnea in COPD; it is more useful for clearing airway secretions.
Other choices are incorrect:
A: Using bronchodilators every 2 hours as needed can lead to overuse and potential side effects. It is not a recommended strategy for managing COPD.
C: Increasing home oxygen without healthcare provider guidance can be dangerous and worsen the client's condition.
D: Huff coughing is not typically used for managing dyspnea in COPD; it is more useful for clearing airway secretions.