The nurse is caring for a client recently diagnosed with emphysema. What health maintenance Information would the nurse teach the client? (SELECT ALL THAT APPLY)

Proper use of prescribed oxygen in the home

Importance of smoking cessation

Importance of regular exercise

High carbohydrate, low protein diet

Avoid playing with grandchildren

Answer and Explanation

Correct Answer : A,B,C

A.   Proper use of prescribed oxygen in the home: This is a crucial aspect of care for a client with emphysema. Oxygen therapy may be prescribed to help manage symptoms and improve oxygenation. Proper use of prescribed oxygen equipment at home, including understanding flow rates, wearing oxygen as prescribed, and ensuring adequate oxygen saturation, is essential for the client's safety and well-being.
B.   Smoking cessation is paramount for individuals diagnosed with emphysema. Smoking is the primary cause of emphysema, and continuing to smoke can exacerbate symptoms, accelerate disease progression, and decrease the effectiveness of treatment.
C.   Regular exercise is beneficial for individuals with emphysema as it can help improve cardiovascular health, strengthen respiratory muscles, enhance endurance, and improve overall quality of life. However, exercise should be tailored to the individual's abilities and limitations.
D.   High carbohydrate, low protein diet is not appropriate for individuals with emphysema. In fact, a high carbohydrate, low protein diet may contribute to weight gain and exacerbate respiratory symptoms.
E.   While individuals with emphysema may need to take precautions to avoid exposure to respiratory infections, such as practicing good hand hygiene and avoiding close contact with individuals who are sick, there is no need to avoid playing with grandchildren altogether.

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Correct Answer is B

Explanation

B. Increase fiber in the diet: This is the correct option. Increasing dietary fiber intake is one of the most important interventions to prevent diverticular disease and reduce the risk of diverticulitis. Adequate fiber intake promotes regular bowel movements and prevents constipation, which can help reduce pressure in the colon and minimize the formation of diverticula.
A. Nuts and seeds are excellent sources of dietary fiber, which may actually help prevent diverticular disease. Therefore, while avoiding nuts and seeds may be advised during an acute diverticulitis flare-up to reduce irritation to the colon, it is not the most important long-term preventive intervention.
C. While stress management techniques may contribute to overall health and well-being, they are not the most important intervention specifically for preventing diverticular disease.
D. While physical activity and exercise are important for overall health and may help improve bowel function, there is limited evidence to suggest that strengthening abdominal muscles alone can prevent diverticular disease.

A. "I'm so glad I will be able to drink orange juice while I'm taking these medications." B. "While I'm taking these medications, my bowel movements could be black." C. "I'll include more calcium and vitamin D in my diet to prevent osteoporosis." D. "I have a medicine at home to take when I start having loose stools."

Correct Answer is B

Explanation

B. Bismuth subsalicylate, one of the medications prescribed for peptic ulcers, can cause blackening of the stools. This discoloration is harmless and temporary but is an important side effect to be aware of.
A. Citrus juices, including orange juice, can exacerbate symptoms of peptic ulcers due to their acidic nature. Therefore, it would not be appropriate for the client to consume orange juice while taking famotidine and bismuth subsalicylate.
C. Osteoporosis is not a known side effect or concern associated with these medications.
D. Constipation and not diarrhea, is a potential side effect of bismuth subsalicylate.

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The nurse is caring for a client recently diagnosed with emphysema. What health maintenance Information would the nurse teach the client? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client is being discharged after being seen in the urgent care center for a possible first experience with diverticulitis. The client asks the nurse what can be done to prevent further development of diverticular disease. The nurse's most important intervention to teach this client would be to:

Correct Answer is B

Explanation

The nurse teaches a client newly diagnosed with a peptic ulcer about the prescribed medications famotidine and bismuth subsalicylate. Which statement made by the client indicates that the teaching was effective?

Correct Answer is B

Explanation

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