A nurse is providing home care for a patient with chronic obstructive pulmonary disease (COPD). Which order should the nurse question?
a. Low-sodium diet
b. Increase activity as tolerated
c. Oxygen 4 L/min per nasal cannula
d. Tiotropium (Spiriva) inhalation once daily
ANS: C
Oxygen is generally ordered at a flow rate of 1 to 2 L/min for patients with chronic lung disease. Higher flow rates may suppress the hypoxic drive in patients who are chronic CO2 retainers. B. D. Tiotropium and increasing activity as tolerated are common orders in COPD. A. A low-sodium diet is not contraindicated.
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