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

This is because emphysema causes destruction of alveolar walls and loss of elastic recoil, which leads to air trapping and hyperinflation of the lungs. This results in a barrel-shaped chest and increased chest circumference.

A. "Eating a high fiber diet will reduce my risk for developing skin cancer." B. "I should check my skin monthly for any changes." B. "I should avoid the use of tanning booths." C. "I should use sunscreen even on cloudy days." D. Wear barrier protection during vaginal intercourse.

Correct Answer is A

Explanation

Eating a high fiber diet has not been proven to reduce the risk for developing skin cancer. Skin cancer is mainly caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources, such as tanning booths.

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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 on a medical-surgical unit is performing an admission assessment of a client who has COPD with emphysema. The client reports that he has a frequent productive cough and is short of breath. The nurse should anticipate which of the following assessment findings for this client?

Correct Answer is D

Explanation

A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?

Correct Answer is A

Explanation

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