[Verified Answer]: Saagar Agarwal, a 71-year-old male client…

Saagar Agarwal, a 71-year-old male client (DOB: 4/9/1953), presents to the clinic with increased chest tightness and cough over the past week. Saagar has a history of COPD, has not had a COPD exacerbation in the past few years, and has never been hospitalized for COPD. The NP’s physical assessment reveals bilateral expiratory wheezes on auscultation with no retractions present. The rest of the physical exam is unremarkable. The NP considers the client’s current medication therapy and whether changes or additions are indicated based on current COPD CPGs.  Past Medical History: COPD