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A. Lying down after eating can increase the risk of aspiration and may also lead to feelings of breathlessness. It is generally advised for clients with COPD to remain upright after meals to facilitate better lung expansion and reduce the risk of reflux.
B. Encouraging the client to drink fluids can help thin mucus, making it easier to cough up and thus maintaining clearer airways
C. While coughing is important for clearing secretions, COPD patients should be encouraged to cough as needed rather than on a fixed schedule. Frequent, effective coughing is essential to clear mucus, especially if the client has productive cough.
D. COPD patients often have increased energy demands and may experience muscle wasting, especially if they are in later stages of the disease. A high-protein diet is typically recommended to help maintain muscle mass and support overall health.

A. While chest radiographs can provide valuable information about the lungs, they are not immediately necessary for managing an asthma exacerbation. The priority should be to address the client's current respiratory distress rather than obtaining diagnostic imaging.
B. Dextromethorphan is an antitussive used to suppress cough and is not indicated for asthma exacerbations. In fact, suppressing the cough can be counterproductive for patients with asthma, as coughing can help clear mucus and irritants from the airways.
C. Increasing oxygen to maintain an adequate saturation is important, especially given the current level of 91%. However, the primary goal in asthma exacerbation management is to relieve bronchospasm and improve airflow, which may, in turn, improve oxygen saturation.
D. Albuterol is a short-acting beta-agonist that acts as a bronchodilator, helping to relieve bronchospasm and improve airflow in patients experiencing an asthma attack.