A patient with COPD has a nursing diagnosis of ineffective breathing pattern related to shortness of breath (SOB). It would be important for the nurse to implement which of the following to alleviate SOB in this patient?
A) Administer supplemental oxygen only PRN
B) Group strenuous activities in the morning
C) Pursed-lip breathing
D) Passive range-of motion-exercises
Ans: C
Feedback: Pursed-lip breathing helps the patient prolong expiration time and decrease air trapping. With this technique, the patient will breathe more efficiently and effectively. Many patients with COPD require the need for ongoing supplemental oxygen therapy, not just on a PRN basis. Oxygen will correct the hypoxemia. Pacing activities permits the patient to perform without excessive distress. Patients should perform active range-of-motion exercises as much as possible.
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