The nurse is going over discharge instruction for a client with pulmonary disease. Which statement indicates learning has been unsuccessful?

Question

1. "If I notice a change in the shape of my chest, I should immediately call my health care provider.".
2. "When I am assessing changes in my condition, I should notice increased use of abdominal muscles to exhale.".
3. "It is important for me to report even subtle changes in energy and ability to complete daily tasks.".
4. "I should keep records not only of my respiratory rate, but also the depth and rhythm for a full minute.".

Answer 1

"If I notice a change in the shape of my chest, I should immediately call my healthcare provider.".

Rationale: A change in the shape of the client's chest is not noticeable over a short period of time. Barrel chest occurs slowly and over a long period of time. The other options are correct; as the increased use of accessory muscles, changes in energy, and rate, depth, and rhythm should be noted and reported as needed.