Final answer:
The nurse should include instructions on controlled coughing exercises, consuming a high-calorie diet, and performing arm-reaching exercises in discharge teaching for a client with COPD.
Step-by-step explanation:
When providing discharge teaching to a client with COPD, the nurse should include the following instructions:
- Schedule controlled coughing exercises after meals: This helps to clear mucus from the airways and improve breathing.
- Consume a diet that is high in calories: People with COPD often have a higher calorie requirement due to increased work of breathing.
- Perform arm-reaching exercises: These exercises help to improve upper body strength and stamina.