Saunders Respiratory Practice

In a client with an acute exacerbation of COPD, which symptom should the nurse expect?

1. Bradycardia

2. Pneumonia

3. Dyspnea during exertion

4. Increased appetite

The correct answer is: Dyspnea during exertion

In a client experiencing an acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD), dyspnea during exertion is a hallmark symptom. During such exacerbations, the airways become inflamed and obstruction of airflow can worsen, making it increasingly difficult for the client to breathe, especially upon exertion or activity. This heightened sensation of breathlessness can occur even with minimal activity, a significant concern in managing COPD. The presence of dyspnea is related to both the underlying pathophysiology of COPD, such as progressive airflow limitation, and potential complications during an acute exacerbation, like increased mucus production and bronchospasm. Therefore, recognizing dyspnea during exertion as a key symptom is essential for appropriate assessment and intervention in patients with COPD.