A nurse is teaching a client who has emphysema about self-management strategies. Which of the following statements by the client indicates an understanding of the teaching?

"I will inhale slowly through pursed lips to help me breathe better."

"I will lie on my stomach to practice abdominal breathing every day."

"I will follow a daily diet high in calories and protein."

"I will avoid getting a flu shot."

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. “I will follow a daily diet high in calories and protein.”

Choice A rationale:

Inhaling slowly through pursed lips is incorrect. The correct technique is to exhale slowly through pursed lips, which helps to keep the airways open longer, allowing for better air exchange and reducing shortness of breath.

Choice B rationale:

Lying on the stomach to practice abdominal breathing is not a recommended strategy for managing emphysema. Abdominal or diaphragmatic breathing can be beneficial, but it is typically practiced in a comfortable, upright position.

Choice C rationale:

Clients with emphysema often have an increased caloric demand due to the effort required to breathe. A diet high in calories and protein can help maintain energy levels and prevent muscle wasting.

Choice D rationale:

Avoiding a flu shot is incorrect. Patients with emphysema are at higher risk for respiratory infections, and getting an annual flu shot is crucial to prevent complications.

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Correct Answer is D

Explanation

Methotrexate is a medication that interferes with cell division and can cause birth defects or miscarriage if taken during pregnancy. The medication can also pass into breast milk and harm the baby. Therefore, the nurse should advisethe client to stop taking methotrexate at least 3 months before trying to conceive and to use effective contraception while on the medication.

A. "Drink at least 8 ounces of water when you take the pyrazinamide tablet." B. "Take isoniazid with an antacid." C. "Expect your sputum cultures to be negative after 6 months of therapy." D. "Provide a sputum specimen every 2 weeks to the clinic for testing."

Correct Answer is A

Explanation

Pyrazinamide is a medication used to treat tuberculosis that can cause renal damage and crystal formation in the urine if not adequately hydrated. The client should also avoid alcohol and have regular liver function tests while taking this medication. Isoniazid should not be taken with antacids, as they can decrease its absorption and effectiveness. Sputum cultures are expected to be negative after 2 months of therapy, not 6 months. Providing a sputum specimen every 2 weeks is not an instruction for the client, but a part of the monitoring process by the health care team.

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A nurse is teaching a client who has emphysema about self-management strategies. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a female client who has rheumatoid arthritis and a new prescription for methotrexate. The client tells the nurse she is planning a pregnancy. Which of the following instructions should the nurse give the client?

Correct Answer is D

Explanation

A nurse is teaching a client who has tuberculosis and is to start medication therapy with isoniazid, rifampin and pyrazinamide. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

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