Question

The nurse is caring for a client with COPD who is admitted with pneumonia. Which of the following nursing considerations is most appropriate for this client?

Fluid restriction of 2L
Encourage small, frequent meals
Bedrest to conserve energy
Provide supplemental oxygen at 5 L/ min via nasal cannula

Answer 1

The most appropriate nursing consideration for a patient with COPD and pneumonia is to provide supplemental oxygen at an appropriate rate that considers the unique needs of the individual, balancing the need for oxygen with the risk of CO2 retention.

Step-by-step explanation:

Among the nursing considerations for a client with COPD and pneumonia, providing supplemental oxygen is most appropriate. A cautious approach to oxygen therapy is needed due to the risk of co2 retention in clients with COPD. Fluid restriction or bed rest are not typically primary interventions, as hydration is important for preventing thick secretions and some physical activity can help in maintaining lung function.

High flow oxygen is not routinely used; patients with COPD are often given lower doses of oxygen to avoid suppressing their drive to breathe. Small, frequent meals are advisable, but they don't directly address the respiratory compromise associated with COPD and pneumonia.This is because COPD is a lung disease that causes poor airflow, leading to shortness of breath. By providing supplemental oxygen, the nurse can help improve the client's oxygen levels and ease their breathing.