A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include as eﬀective for preventing this disorder?

Regular moderate exercise

Maintenance of ideal weight

Annual inﬂuenza immunization

Smoking cessation

Answer and Explanation

The Correct Answer is D

Smoking cessation is the most eﬀective way to prevent chronic bronchitis, which is a type of chronic obstructive pulmonary disease (COPD) characterized by inﬂammation and excess mucus production in the

bronchi. Smoking is the main cause of chronic bronchitis, as it damages the cilia and mucous membranes of the airways, leading to chronic cough, sputum, and infection. Quitting smoking can reduce the risk of developing or worsening chronic bronchitis and improve lung function and quality of life.

a)   Regular moderate exercise is beneficial for preventing chronic bronchitis, but not as eﬀective as smoking cessation. Exercise can improve cardiovascular and respiratory health, increase oxygen delivery to the tissues, and enhance immune function. However, exercise alone cannot reverse the damage caused by smoking or prevent further deterioration of the airways.
b)   Maintenance of ideal weight is beneficial for preventing chronic bronchitis, but not as eﬀective as smoking cessation. Maintaining a healthy weight can reduce the workload on the heart and lungs, prevent obesity-related complications, and improve self-esteem and well-being. However, weight management alone cannot restore the normal structure and function of the airways or prevent chronic inﬂammation and mucus production.
c)   Annual inﬂuenza immunization is beneficial for preventing chronic bronchitis, but not as eﬀective as smoking cessation. Inﬂuenza immunization can protect against viral infections that can trigger or exacerbate chronic bronchitis symptoms, such as fever, cough, wheezes, and dyspnea. However, inﬂuenza immunization cannot prevent other causes of chronic bronchitis, such as bacterial infections, environmental pollutants, or genetic factors.

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Correct Answer is ["A","C","E"]

Explanation

These clients have impaired swallowing, gag reﬂex, or level of consciousness, which increase their risk of aspiration while eating.

The other options are not correct because:

b. A client who has had prolonged diarrhea does not have a direct risk factor for aspiration, as diarrhea aﬀects the lower gastrointestinal tract and not the upper airway or esophagus.

d. A client who has lactose intolerance does not have a risk factor for aspiration, as lactose intolerance causes abdominal cramps, bloating, gas, or diarrhea when consuming dairy products, but does not aﬀect the ability to swallow or protect the airway.

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

Correct Answer is B

Explanation

Answer: B

Rationale:

A) "Expect your sputum cultures to be negative after 6 months of therapy":

While sputum cultures may become negative after a period of effective therapy, it is not always guaranteed to happen within exactly 6 months. Tuberculosis (TB) treatment usually involves several months of medication, and sputum cultures are monitored periodically to assess treatment efficacy, not solely at the 6-month mark.

B) "Drink at least 8 ounces of water when you take the pyrazinamide tablet":

Drinking plenty of water with pyrazinamide is important to prevent dehydration and to help minimize potential side effects, such as hyperuricemia or gout. Adequate hydration can also aid in the effective elimination of the medication from the body, thus reducing the risk of adverse effects.

C) "Provide a sputum specimen every 2 weeks to the clinic for testing":

Sputum specimens are typically provided less frequently than every 2 weeks, usually monthly, to monitor the progress of TB treatment. Testing frequency may vary depending on the client's condition and the healthcare provider's recommendations.

D) "Take isoniazid with an antacid":

Isoniazid should not be taken with antacids, as antacids can interfere with the absorption of isoniazid. It is usually advised to take isoniazid on an empty stomach, and clients should be instructed to wait at least 1 hour after taking isoniazid before consuming antacids.

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A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include as eﬀective for preventing this disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of clients. Which of the following clients should the nurse identify as having an increased risk of aspiration while eating? (Select all that apply)

Correct Answer is ["A","C","E"]

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 B

Explanation

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