Final answer:
The most appropriate goal for a COPD client is that they will demonstrate appropriate breathing techniques, as it directly supports their respiratory management. Smoking cessation is critical but is a broader health objective, and maintaining oxygen saturations above 98% may not be realistic.
Step-by-step explanation:
The appropriate goal for a client with chronic obstructive pulmonary disease (COPD) would be that the client will demonstrate appropriate breathing techniques. COPD is characterized by chronic poor airflow and includes conditions such as chronic bronchitis and emphysema, which often result from tobacco smoking and lead to lung changes such as the breakdown of connective tissues and reduced alveolar elasticity. To manage COPD, it is essential to stop smoking and learn effective breathing techniques to enhance airway clearance and improve oxygenation. While maintaining oxygen saturations above a certain level (like 98%) may be ideal, this is not always achievable for someone with COPD, as their lungs can have significant damage impeding gas exchange. Hence, goal 3 is not realistic. Developing a small number of respiratory infections, such as two per year (goal 1), is not a good goal as the aim should be to prevent all infections if possible.
Furthermore, the leading cause of COPD is tobacco smoking, which not only contributes to the onset of COPD but can exacerbate the symptoms in those already diagnosed. Therefore, smoking cessation (goal 2) is critical in the management of COPD to slow its progression. However, it is a broader objective and is indeed a crucial aspect of care. Keeping vaccinations up-to-date is also important because it helps prevent respiratory infections, which can exacerbate COPD symptoms and lead to further lung damage.