Correct Answer: D

Rationale: In a client with COPD admitted with pneumonia, a productive cough with green sputum indicates a potential bacterial infection. Green sputum is commonly associated with bacterial pneumonia, which requires immediate intervention with appropriate antibiotics. Monitoring oxygen saturation, respiratory rate, and heart rate are essential in COPD patients, but the presence of green sputum suggests an urgent need for targeted treatment to address the underlying infection. Oxygen saturation of 88% is concerning but may not directly indicate the need for immediate intervention in the absence of other critical symptoms. Respiratory rate of 24 breaths per minute and a heart rate of 90 beats per minute are within normal limits and may not be indicative of an acute issue requiring immediate intervention in this context.

Correct Answer: B

Rationale: Absence of breath sounds can indicate a pneumothorax or severe asthma exacerbation, which requires immediate intervention.

Correct Answer: B

Rationale: Exploring the client's dietary habits and challenges helps the nurse understand the barriers to maintaining a healthy diet and tailor the intervention accordingly.

Correct Answer: B

Rationale: Understanding why the client forgets to take their medication helps the nurse address the underlying issues and find appropriate solutions.

Correct Answer: A

Rationale: Setting up mental health clinics in accessible locations makes it easier for community members to access the care they need.