The Nurse, Providing Discharge Instruction to a Patient with Pulmonary

The nurse, providing discharge instruction to a patient with pulmonary disease, would determine that additional instruction is needed when which of the following statements has been made by the patient?

A) "If I notice a change in the shape of my chest, I should immediately call my healthcare provider."
B) "When I am assessing changes in my condition, I should notice increased use of abdominal muscles to exhale."
C) "It is important for me to report even subtle changes in energy and ability to complete daily tasks."
D) "I should keep records not only of my respiratory rate but also the depth and rhythm for a full minute."