When teaching a client with COPD to conserve energy, the nurse should teach the client to lift objects:
A. While inhaling through an open mouth.
B. While exhaling through pursed lips.
C. After exhaling but before inhaling.
D. While taking a deep breath and holding it.
Correct Answer: B. While exhaling through pursed lips.
Exhaling requires less energy than inhaling. Therefore, lifting while exhaling saves energy and reduces perceived dyspnea. When one practices regularly, breathing exercises can help exert oneself less during daily activities. They can also potentially aid in return to exercising, which can lead to feeling more energetic overall.
Option A: Pursing the lips prolongs exhalation and provides the client with more control over breathing. It’s been shown to reduce how hard one has to work to breathe. It helps release air trapped in the lungs. It promotes relaxation. It reduces shortness of breath.
Option C: Lifting after exhalation but before inhaling is similar to lifting with the breath held. The purpose of pursed lip breathing is to help keep the airways open. This helps your airways to remain open. Pursed lip breathing also slows down the breathing rate and calms the patient down.
Option D: This should not be recommended because it is similar to the Valsalva maneuver, which can stimulate cardiac dysrhythmias. The purpose of coordinated breathing is to help assure adequate oxygen to the working muscles and to prevent the client from holding the breath.
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