A client diagnosed with chronic obstructive pulmonary disease has the complication of cor pulmonale. Which of the following instructions will be included in the client's discharge teaching?
1. Adjust oxygen higher depending on activity level.
2. Increase sodium in the diet.
3. Maintain bed rest.
4. Weigh self daily, and call the physician with a weight gain of 2 pounds
4
A weight gain of greater than 2 pounds would indicate fluid retention and need to be reported to the physician. Oxygen would not be increased past the prescribed level because this may eliminate the client's drive to breathe. Increasing sodium will encourage fluid retention. Moderate activity is desired to maintain a level of cardiovascular health.
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