PN Adult Medical Surgical Practice Exam

During a follow-up visit, a client with COPD reports persistent cough and increased sputum. What should the nurse recommend?

1. Increase physical activity levels.

2. Limit fluid intake to reduce sputum.

3. Increase dietary fiber to improve breathlessness.

4. Schedule a follow-up visit for reevaluation.

The correct answer is: Schedule a follow-up visit for reevaluation.

In the context of a client with COPD experiencing a persistent cough and increased sputum, scheduling a follow-up visit for reevaluation is a vital recommendation. COPD can lead to exacerbations and the presence of increased sputum production may indicate an acute change in the client's condition, possibly requiring further assessment or intervention. This recommendation allows healthcare providers to conduct a thorough evaluation of the client's respiratory status, assess for any signs of infection or worsening of COPD, and determine if a change in management—such as medication adjustments, additional therapies, or other interventions—is necessary. Regular follow-ups are crucial in managing chronic conditions like COPD effectively, ensuring that any complications are addressed promptly. While increasing physical activity can be beneficial for overall lung health and function, it may not directly address the immediate concerns of increased sputum and cough. Similarly, limiting fluid intake is generally not advised as adequate hydration can help thin mucus and facilitate easier expectoration. Increasing dietary fiber may improve gastrointestinal function, but it has little direct relevance to managing respiratory symptoms in this scenario. Therefore, focusing on reevaluation is the most appropriate and effective course of action for this client's reported symptoms.