A nurse is teaching a class about the use of pain medications for clients who have an opioid addiction. Which of the following medications are a nonopioid analgesic? (Select All that Apply)

A) Codeine:
Codeine is an opioid analgesic and is not classified as a nonopioid analgesic.
B) Ibuprofen:
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) and is considered a nonopioid analgesic. It works by reducing inflammation and pain without producing the same addictive effects as opioids.
C) Fentanyl:
Fentanyl is a potent opioid analgesic and is not classified as a nonopioid analgesic.
D) Oxycodone:
Oxycodone is an opioid analgesic and is not classified as a nonopioid analgesic.
E) Acetaminophen:
Acetaminophen, also known as paracetamol, is a nonopioid analgesic commonly used to relieve mild to moderate pain and reduce fever. It is not classified as an opioid and does not produce the same addictive effects.

A. Helping the client select a low-salt diet:
This option is not directly related to addressing tenacious bronchial secretions in COPD. While a low-salt diet may be beneficial for managing conditions like hypertension or heart failure, it does not directly influence the viscosity of bronchial secretions.

B. Administering oxygen via nasal cannula at 2 L/min:
Oxygen therapy is important for clients with COPD, especially during exacerbations or periods of hypoxemia. However, in this scenario, the client's primary concern is tenacious bronchial secretions, and oxygen therapy alone may not effectively address this issue.

C. Encouraging the client to drink 2 to 3 L of water daily:
This is the correct answer. Increasing fluid intake helps to hydrate the mucous membranes and thin bronchial secretions, making them easier to expectorate. Adequate hydration is essential for optimizing the clearance of secretions in clients with COPD.

D. Maintaining a semi-Fowler's position as often as possible:
While maintaining a semi-Fowler's position can improve respiratory mechanics and reduce dyspnea in clients with COPD, it does not directly address the issue of tenacious bronchial secretions. This position primarily helps in optimizing lung expansion and facilitating easier breathing.