Which indicates the need for further discharge teaching for a client with a history of chronic respiratory disease?
1. "As long as I take my medications and use my inhalers as prescribed, I should not have difficulty when traveling.".
2. "I should avoid traveling to places at higher elevations, as I will have increased difficulty breathing.".
3. "To decrease my risk, any traveling I do should not be to places with recent outbreaks of respiratory illnesses.".
4. "If I am acclimated to higher elevations, I should not experience problems with worsening symptoms.".
"As long as I take my medications and use my inhalers as prescribed, I should not have difficulty when traveling.".
Rationale: If the client travels to elevations above 5000 feet without being acclimated, increased symptoms result from the decreased oxygen in the air at higher elevations. Travel avoidance to higher elevations and to places with recent outbreaks are correct, so would not indicate the need for further teaching. Just because the client is acclimated to higher elevations does not preclude the client from worsening symptoms.
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