A nurse is developing the teaching portion of a care plan for a patient with COPD. What would be the most important component for the nurse to emphasize?
A) Smoking up to one-half of a pack of cigarettes weekly is allowable.
B) Chronic inhalation of indoor toxins can cause lung damage.
C) Minor respiratory infections are considered to be self-limited and are not treated.
D) Activities of daily living (ADLs) should be clustered in the early morning hours.
Ans: B
Feedback:
Environmental risk factors for COPD include prolonged and intense exposure to occupational dusts and chemicals, indoor air pollution, and outdoor air pollution. Smoking cessation should be taught to all patients who are currently smoking. Minor respiratory infections that are of no consequence to the person with normal lungs can produce fatal disturbances in the lungs of the person with emphysema. ADLs should be paced throughout the day to permit patients to perform these without excessive distress.
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