Which clinical change indicates the client's COPD is becoming worse?

A. Pulse pressure has increased from 35 mm HG to 40 mm Hg,
B. The client has had an unplanned weight loss of 15 pounds.
C. The client's average respiratory rate has decreased from 34 to 33.
D. The client's PaCO2 is 58 mm Hg this month compared with 64 mm Hg last month.


B
As the work of breathing increases, the client's need for energy also increases. At the same time, the client has greater difficulty eating a sufficient number of calories because of fatigue, rapid respiration, and early satiety. Unplanned weight loss is a common indicator of a worsening of the condition.

Nursing

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