Case study: Older adult with COPD flare. A 68-year-old with COPD presents with dyspnea, productive cough, and oxygen saturation of 86% on room air. The client is anxious but arousable. Which finding in this case is the highest priority for the nurse to address first?

Question

Accepted Answer

C. impaired gas exchange with risk for CO2 retention — In this case, the highest-priority finding is impaired gas exchange with risk for co2 retention because it most directly threatens safety or signals clinical deterioration.

Answer

A. chronic morning cough history

Answer

B. barrel chest appearance

Answer

D. mild appetite loss