What is the primary focus for a nurse monitoring a client who has chronic obstructive pulmonary disease (COPD)?

In managing a client with chronic obstructive pulmonary disease (COPD), the primary focus is maintaining a patent airway. COPD is characterized by airflow limitation and can result in increased difficulty in breathing due to obstruction in the airways. Ensuring that the airway remains open is crucial for optimal gas exchange, allowing the client to breathe effectively and maintain sufficient oxygen levels.

When the airway is compromised, it can lead to hypoxemia and respiratory distress, which are common complications in COPD. Therefore, nurses monitor airway patency closely, observing for signs of obstruction, facilitating effective coughing techniques, and utilizing interventions such as positioning the patient effectively to aid in breathing and secretions clearance.

Other aspects of care, such as monitoring dietary intake, assessing for medication interactions, and encouraging fluid intake, are also important in the holistic management of a COPD patient. However, they are secondary to the immediate priority of ensuring the airway is patent and functioning properly, as this directly impacts the patient's respiratory status and overall health.