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A client with chronic obstructive pulmonary disease (COPD) has a respiratory rate of 24 breaths per minute, bilateral crackles, and cyanosis and is coughing but is unable to expectorate sputum. Which problem is the priority?
1.Low cardiac output secondary to cor pulmonale
2.Gas exchange alteration related to ventilation-perfusion mismatch
3.Altered breathing pattern secondary to increased work of breathing
4.Inability to clear the airway related to inability to expectorate sputum

Respuesta :

Answer: 4. Inability to clear the airway related to inability to expectorate sputum.

Explanation:

The chronic obstructive pulmonary disease is a lung disease which causes the long-term breathing problems and poor supply of air to the lungs. The main symptoms of the disease includes the shortness of the breath, sputum production and cough.

In COPD less air flows inside and outside the respiratory tract this is because of the fact that air sacs looses their elasticity and the airways are filled with the mucus. The excess sputum production restricts the movement of air out of the body through expiration.

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