Which nursing interventions are appropriate? A nurse is caring for a client with emphysema.
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A. Reduce fluid intake to less than 2,500 ml/day. B. Teach diaphragmatic, pursed-lip breathing. C. Administer low-flow oxygen. D. Keep the client in a supine position as much as possible. E. Encourage alternating activity with rest periods. F. Teach use of postural drainage and chest physiotherapy.
The most appropriate nursing intervention is B. By doing this, the respiratory muscles can be strengthened and improved. This is something that some with emphysema needs right now. Another important intervention is C. There is a need to provide low-flow oxygen in order to reduce the effects of chronic hypercapnia.
E. is also important because there may be some activities that people can do that will help them focus on other things first so they will not feel too stressed about their condition. Any person with a certain condition would need to reduce feelings of stress. Lastly, the family members can be taught how to do letter F. Postural drainage and chest physiotherapy can be very important to ensure the patient’s health.
Teach diaphragmatic, pursed-lip breathing.-2. administer low-flow oxygen.-3. encourage alternating activity with rest periods.-4. teach use of postural drainage and chest physiotherapy.-rationale: diaphragmatic, pursed-lip breathing strengthens respiratory muscles and enhances oxygenation in clients with emphysema. low-flow oxygen should be administered because the client with emphysema has chronic hypercapnia and a hypoxic respiratory drive. alternating activity with rest allows the client to perform activities without excessive distress. if the client has copious secretions and has difficulty mobilizing secretions, the nurse should teach him and his family members how to perform postural drainage and chest physiotherapy. fluid intake should be increased to 3,000 ml/day, if not contraindicated, to liquefy secretions and facilitate their removal. the client should be placed in high fowlers position to improve ventilation.client needs category: physiological integrityclient needs subcategory: basic care and comfortcognitive level: applicationreference: smeltzer, s.c., et al. brunner & suddarths textbook of medical-surgical nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 697.