Which instruction should the nurse include in an exercise teaching plan for a patient with chronic obstructive pulmonary disease (COPD)?
a. "Stop exercising if you start to feel short of breath."
b. "Use the bronchodilator before you start to exercise."
c. "Breathe in and out through the mouth while you exercise."
d. "Upper body exercise should be avoided to prevent dyspnea."
ANS: B
Use of a bronchodilator before exercise improves airflow for some patients and is recommended. Shortness of breath is normal with exercise and not a reason to stop. Patients should be taught to breathe in through the nose and out through the mouth (using a pursed lip technique). Upper-body exercise can improve the mechanics of breathing in patients with COPD.
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