Nokea
A client with chronic obstructive pulmonary disease (COPD tells the nurse, 'I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up.' Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?
Correct Answer: D
Rationale: The correct answer is D: Encouraging the client to drink 2 to 3 L of water daily. Increased fluid intake helps to thin out bronchial secretions, making them easier to cough up. Step-by-step rationale:
1. Increased water intake promotes hydration, which thins mucus in the airways.
2. Thinner mucus is easier to expectorate, aiding in clearing airway congestion.
3. Adequate hydration also helps to prevent dehydration, which can further thicken secretions.
Summary:
A: Maintaining a semi-Fowler's position may help with breathing comfort but does not directly address the issue of thick secretions.
B: Administering oxygen is important for COPD patients but does not specifically target bronchial secretions.
C: Selecting a low-salt diet is beneficial for managing fluid retention but does not directly address the issue of tenacious bronchial secretions.