An older woman who has COPD wants to perform self-care activities. Which instruction should the nurse include in patient teaching to help her achieve this goal?
a. Bathe and eat slowly with periodic rest.
b. Walk short distances without oxygen.
c. Perform all activities of daily living (ADLs) and then rest.
d. Bathe right after eating, and then rest.
A
A person with COPD can perform self-care tasks if allowed plenty of time to accomplish them and to take breaks for rest. The patient can potentially benefit more from longer periods of exer-cise supplemented with oxygen than from short excursions without oxygen. A plan to rest in the future after the self-care task of performing ADLs or bathing after eating is accomplished does not compensate for the deprivation of rest when she needs it.
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