The nurse reviews discharge instructions with a client who has advanced chronic obstructive pulmonary disease. Which client statement indicates appropriate understanding? Select all that apply.

1. "I need to take iron supplements to prevent anemia."

2. "I should report an increase in sputum."

3. "I will eat a low-calorie diet."

4. "I will get a pneumococcal vaccine."

5. "I will use albuterol if I am short of breath."

2. I should report an increase in sputum

4. I will get a pneumococcal vaccine

5. I will use albuterol if I am short of breath

Explanation:

Chronic Obstructive Pulmonary Disease (COPD) is a term used to describe progressive lung diseases (including chronic bronchitis, emphysema, and severe forms of asthma. People who suffer from COPD usually experience an increased production of sputum (mucus) and shortness of breath. They make use of inhalers / bronchodilators to assist with their breathing.

Albuterol (a medication) is one such bronchodilator, which is used to open the airways and ease the breathing.

Getting pneumococcal vaccines will be beneficial to the patient, because it will reduce the risk of them contracting community acquired pneumonia.

If the patient uses these statements, it indicates that they have an appropriate understanding of the condition.