The healthcare provider has ordered captopril for the client diagnosed with congestive heart failure. Which discharge instruction should the nurse include?

Choice A reason: Sun exposure triggers lupus rashes by inducing photosensitivity, increasing inflammation via UV damage, so stating it decreases risk is incorrect and needs correction.

Choice B reason: Ibuprofen, an NSAID, reduces lupus joint pain by inhibiting prostaglandin synthesis, a common and appropriate management strategy, so this is accurate.

Choice C reason: Fever signals lupus flare-ups from systemic inflammation, an early immune response marker, making this statement correct and aligned with disease patterns.

Choice D reason: Resting between activities conserves energy and reduces lupus fatigue and inflammation, a recommended self-management technique, so this is appropriate advice.

Choice A reason: Barrel chest develops in emphysema from chronic air trapping, overexpanding lungs and flattening the diaphragm, altering thoracic shape over years.

Choice B reason: Edema relates to right heart failure from cor pulmonale, a late emphysema complication, not a direct or universal finding after five years.

Choice C reason: Productive cough is typical in chronic bronchitis, not emphysema, which features alveolar destruction and minimal mucus, leading to dry cough instead.

Choice D reason: Dyspnea in emphysema results from alveolar loss reducing oxygen exchange, forcing compensatory rapid breathing, a core symptom even after five years.

Choice E reason: Clubbed fingers occur in chronic hypoxia from emphysema, as poor oxygenation over years triggers nail bed angiogenesis, a common late finding.