A client says, "My doctor told me that I have COPD and might develop emphysema. I always thought I had chronic bronchitis." How should the nurse respond to this statement?
1. "Are you certain he didn't say you have asthma?"
2. "Chronic bronchitis doesn't have anything to do with COPD."
3. "COPD is either asthma, chronic bronchitis, or emphysema, or a combination of those disorders.
4. "As COPD progresses it becomes emphysema."
5. "Both diagnoses are correct."
Correct Answer: 3,4,5
Rationale 1: There would be no reason to ask this question. It is logical that a client with chronic bronchitis would have a COPD diagnosis.
Rationale 2: The three specific COPD conditions are asthma, chronic bronchitis, and emphysema.
Rationale 3: The three specific COPD conditions are asthma, chronic bronchitis, and emphysema.
Rationale 4: COPD is progressive, with the terminal stage being emphysema.
Rationale 5: Chronic bronchitis is a form of COPD, so both diagnoses are plausible.
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