For a client with COPD, which symptom should be reported as a priority?

In the context of a client with Chronic Obstructive Pulmonary Disease (COPD), a productive cough with green sputum is a critical symptom to report as a priority. This is because the presence of green sputum often indicates a bacterial infection, which can lead to exacerbations in COPD patients. These exacerbations can significantly impair lung function and result in respiratory distress, ultimately contributing to increased morbidity. Prompt identification and treatment of any signs of infection are crucial for managing the health of individuals with COPD, as they already have compromised lung function and are more susceptible to respiratory complications.

While shortness of breath during exercise, excessive thirst, and occasional wheezing are all relevant symptoms, they do not convey the same immediate risk of worsening respiratory status or infection. Infections in COPD patients can lead to severe complications, so recognizing and addressing the productive cough with green sputum is essential in prioritizing patient care.