The nurse is planning the care of a client diagnosed with emphysema. The client is not currently reporting increased dyspnea, but the nurse has noted the client is anxious. Which nursing intervention(s) should be implemented?

Administer their inhaler medications and increase the oxygen.

Notify the physician and administer lorazepam.

Dim the lights and encourage the client to take a nap.

Sit with the client and provide comfort measures.

Answer and Explanation

The Correct Answer is D

Choice A reason:

Administering inhaler medications and increasing oxygen may be necessary if the client is experiencing respiratory distress. However, since the client is not currently reporting increased dyspnea, this intervention is not immediately required. The focus should be on addressing the client’s anxiety.

Choice B reason:

Notifying the physician and administering lorazepam may be appropriate if the client’s anxiety is severe and not manageable through non-pharmacological means. However, it is generally best to try comfort measures and non-pharmacological interventions first.

Choice C reason:

Dimming the lights and encouraging the client to take a nap can help reduce anxiety, but it may not be the most effective initial intervention. Providing direct comfort and reassurance is often more beneficial in addressing immediate anxiety.

Choice D reason:

Sitting with the client and providing comfort measures is the most appropriate intervention. This approach helps to alleviate anxiety through direct support and reassurance. Techniques such as deep breathing exercises, talking calmly, and providing a comforting presence can significantly reduce anxiety.

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Correct Answer is C

Explanation

Choice A reason: Asking if the client has ever had pneumonia does not confirm a diagnosis of chronic bronchitis. Pneumonia is an acute infection of the lungs, whereas chronic bronchitis is a long-term condition characterized by persistent inflammation of the airways. While a history of pneumonia might be relevant to the client’s overall respiratory health, it is not specific to diagnosing chronic bronchitis.

Choice B reason: Inquiring about a recent bronchoscopy does not confirm chronic bronchitis. Bronchoscopy is a diagnostic procedure used to visualize the airways and collect samples, but it is not a criterion for diagnosing chronic bronchitis. The diagnosis is based on clinical symptoms and history rather than recent procedures.

Choice C reason: The question about a consistent cough for three months in the last two years directly relates to the diagnostic criteria for chronic bronchitis. Chronic bronchitis is defined by a productive cough that lasts for at least three months in two consecutive years. This question helps to confirm the chronic nature of the client’s symptoms, which is essential for diagnosis.

Choice D reason: Asking if the client has had the flu in the past year does not confirm chronic bronchitis. Influenza is a viral infection that can cause acute respiratory symptoms, but it is not related to the chronic inflammation seen in chronic bronchitis. This question might be relevant for understanding the client’s recent health history but does not aid in diagnosing chronic bronchitis.

A. Avoiding playing with the grandchildren. B. Small frequent meals. C. Proper use of home oxygen as prescribed. D. Smoking cessation. E. Importance of a regular exercise program.

Correct Answer is ["B","C","D","E"]

Explanation

Choice A reason:

Avoiding playing with the grandchildren is not necessary for clients with emphysema. While it is important to avoid strenuous activities that can exacerbate symptoms, engaging in light activities and spending time with family can improve mental health and overall well-being.

Choice B reason:

Small frequent meals are recommended for clients with emphysema. Eating smaller meals more frequently can help prevent bloating and discomfort, which can make breathing more difficult. This approach also ensures that the client maintains adequate nutrition without overexerting themselves during meals.

Choice C reason:

Proper use of home oxygen as prescribed is crucial for clients with emphysema. Oxygen therapy can help maintain adequate oxygen levels in the blood, reduce shortness of breath, and improve overall quality of life. Clients should be educated on how to use their oxygen equipment correctly and consistently.

Choice D reason:

Smoking cessation is the most important step for clients with emphysema. Smoking is the primary cause of emphysema, and quitting smoking can slow the progression of the disease, improve lung function, and enhance overall health. Support and resources for smoking cessation should be provided.

Choice E reason:

The importance of a regular exercise program cannot be overstated for clients with emphysema. Regular exercise, particularly pulmonary rehabilitation programs, can improve lung function, increase endurance, and enhance the ability to perform daily activities. Exercise programs should be tailored to the client’s abilities and limitations.

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The nurse is planning the care of a client diagnosed with emphysema. The client is not currently reporting increased dyspnea, but the nurse has noted the client is anxious. Which nursing intervention(s) should be implemented?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing the history of a client admitted with newly diagnosed chronic bronchitis. Which question by the nurse confirms this diagnosis?

Correct Answer is C

Explanation

The nurse is caring for a client recently diagnosed with emphysema. What information, regarding health maintenance, would the nurse include in teaching sessions? (SELECT ALL THAT APPLY)

Correct Answer is ["B","C","D","E"]

Explanation

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