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If a client with pulmonary sarcoidosis can verbalize which early sign of exacerbation, they understand their discharge instructions?

  1. Chest tightness

  2. Persistent cough

  3. Fatigue

  4. Shortness of breath

The correct answer is: Shortness of breath

The early sign of exacerbation in pulmonary sarcoidosis that indicates the client understands their discharge instructions is shortness of breath. It is a critical symptom that can signify the worsening of lung function or an increase in inflammation in the lungs. Recognizing shortness of breath as an early warning sign is vital for patients with pulmonary conditions, as it can inform them to seek prompt medical intervention. In the context of sarcoidosis, patients should be particularly aware of changes in their respiratory health. While other symptoms like chest tightness, persistent cough, and fatigue are important as well, shortness of breath is often more indicative of a significant change in their condition, potentially leading to serious complications if not addressed quickly. Thus, understanding and being able to verbalize this specific symptom reflects the patient’s awareness of their condition and the importance of monitoring their symptoms for exacerbations.