A patient with COPD asks the nurse why he is having increased difficulty with his fine motor skills, such as buttoning his shirt. Which response by the nurse is most therapeutic?
a. "Your body isn't receiving enough oxygen to send down to your fingers; this causes them to club and makes dexterity difficult."
b. "Your disease process makes even the smallest tasks seem exhausting. Try taking a nap before getting dressed."
c. "Often patients with your disease lose mental status and forget how to perform daily tasks."
d. "Your disease affects both your lungs and your heart, and not enough blood is being pumped. So you are losing sensory feedback in your extremities."
A
Clubbing of the nail bed is a frequent symptom of COPD and can make activities of daily living difficult. Taking a nap decreases fatigue but does not help the patient perform fine motor skills. Loss of mental status is not a normal finding with COPD. Low oxygen not low circulating blood volume is the problem in COPD.
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