A client with chronic obstructive pulmonary disease (COPD) is frequently admitted to the hospital due to exacerbations related to non-adherence to their nebulizer medication regimen. Which referral would be most beneficial to improve this client's long-term health outcomes?

Question: A client with chronic obstructive pulmonary disease (COPD) is frequently admitted to the hospital due to exacerbations related to non-adherence to their nebulizer medication regimen. Which referral would be most beneficial to improve this client's long-term health outcomes?

Answer options:

• Referral to a smoking cessation clinic.
• Referral to a pulmonary rehabilitation program.
• Referral to a social worker to address housing stability. ✅ Referral to a home care nurse for medication teaching and supervision.

Correct answer: Referral to a home care nurse for medication teaching and supervision.

Explanation: Given the client's frequent admissions due to non-adherence to nebulizer medications, a home care nurse can provide direct, personalized teaching, supervision, and reinforcement of the medication regimen in the client's home environment, which is crucial for improving adherence and preventing future exacerbations.