Which of the following interventions would assist a client with chronic obstructive pulmonary disease (COPD) to improve lung expansion?
1. Instruct in abdominal breathing
2. Provide oxygen 2 liters nasal cannula
3. Coach in pursed lip breathing every 2 hours while awake
4. Deep breathing and coughing every hour
1. Instruct in abdominal breathing
Rationale:
Breathing exercises are frequently indicated for clients with COPD. Abdominal breathing improves lung expansion. Providing oxygen 2 liters per nasal cannula will not improve the client's lung expansion. Pursed-lipped breathing helps keep airways open by maintaining positive pressure. Deep breathing and coughing should be done every 2 hours to help keep the airway clear and prevent the pooling of secretions,not to improve lung expansion.
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