Respiratory Question #3


The nurse is preparing instruction for a client with chronic obstructive pulmonary disease (COPD). Which demonstration by the client will be mastered for purse-lipped breathing technique?


  1. The client will take a deep breath with lips pursed then exhale fully with mouth open
    • Rationale:
  2. The client will breathe in longer than breathing out
    • Rationale:
  3. The client will inhale with mouth closed, purse lips and exhale while counting to four.
    • Rationale:
  4. The client will inhale while counting to four, and then forcefully blow out on exhalation.
    • Rationale:



The client should demonstrate pursed-lipped breathing after instruction which includes inhaling with a closed mouth slowly (two counts), then pucker or purse lips as if whistling or flickering candle flame, then breathe out slowly through pursed lips while counting to four. Other reminders should include: do not force air out, always breathe out longer than breathing in, and use relaxed slow breathing. The other selections, if demonstrated, would necessitate further instruction, OR the instruction provided may have been incorrect.

Learning Outcomes

Test Taking Tip

Video Rationale