Mr. Calvin Green has smoked at least one pack of cigarettes a day for the past 59 years. He has been diagnosed with end-stage chronic obstructive pulmonary disease (COPD) and has been having symptoms of decreased oxygen perfusion
He has been confused and very anxious during these periods. He claims that his oxygen tubing is clogged and not giving him the oxygen he needs. Which of the following self-care strategies would assist Mr. Green to be more comfortable?
a. Quitting smoking
b. Increasing the liter flow on the oxygen
c. Teaching him strategies to deal with anxiety and obstruction of air flow
d. Increasing his dosage of narcotic pain relievers
C
Teaching an older adult with COPD relaxation strategies, posturing, and deep breathing exercises can decrease anxiety and increase the efficiency of coughing. Quitting smoking (response A) is probably not a strategy to assist him to be more comfortable. Responses B and D are potentially harmful for an older adult. Increased oxygen flow and narcotic analgesics can act as respiratory depressants and might contribute to respiratory arrest.
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