A Patient with Chronic Obstructive Pulmonary Disease (COPD) Is Receiving

A patient with chronic obstructive pulmonary disease (COPD) is receiving heated water aerosol treatments through a jet nebulizer four times daily as a supplement to other bronchial hygiene measures designed to aid in mobilizing retained secretions. After each session, you notice the presence of moderate wheezing. Which of the following recommendations would you make to the physician?

A) Discontinue the heated water aerosol treatments.
B) Consider prior treatment with a bronchodilator.
C) Switch to a higher-density aerosol (e.g., ultrasonic) .
D) Discontinue the other bronchial hygiene measures.

Correct Answer:

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