A nurse is caring for a client who has emphysema. Which of the following interventions should the nurse include in the client's plan of care?A. Teach the client a breathing exercise with a longer inhalation phase.B. Limit fluid intake to 1,000 mL per day.C. Encourage use of incentive spirometry for 5 min every 2 hr.D. Administer oxygen at 2 L/min.
Question
A nurse is caring for a client who has emphysema. Which of the following interventions should the nurse include in the client's plan of care?A. Teach the client a breathing exercise with a longer inhalation phase.B. Limit fluid intake to 1,000 mL per day.C. Encourage use of incentive spirometry for 5 min every 2 hr.D. Administer oxygen at 2 L/min.
Solution
The nurse should include the following interventions in the client's plan of care:
A. This option is incorrect. Patients with emphysema should be taught breathing exercises with a longer exhalation phase, not inhalation. This is because they have difficulty with expelling air out of their lungs due to loss of elasticity.
B. This option is incorrect. Limiting fluid intake can lead to thickened secretions which can further compromise lung function. Adequate hydration is important to keep secretions thin and easier to expel.
C. This option is correct. The use of incentive spirometry can help improve lung function by encouraging deep breathing and can help prevent complications such as atelectasis.
D. This option is correct. Oxygen therapy is often used in patients with emphysema to help improve oxygenation. However, the exact rate will depend on the patient's specific needs and should be adjusted accordingly.
So, the correct interventions for a client who has emphysema are to encourage the use of incentive spirometry for 5 min every 2 hr and administer oxygen at 2 L/min.
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