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Which instruction should the nurse include in the teaching if she is teaching a client with chronic bronchitis about breathing exercises?

Which instruction should the nurse include in the teaching if she is teaching a client with chronic bronchitis about breathing exercises?

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A. Make inhalation longer than exhalation.
B. Exhale through an open mouth.
C. Use diaphragmatic breathing.
D. Use chest breathing.

This question is part of

Respiratory Disorders (Part 2)
Asked by Morgan, Last updated: Jun 27, 2020

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3 Answers

H. Barnes

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H. Barnes, Unemployed, Barnes, Atlanta

Answered Mar 07, 2019

Correct answer is option C
The instruction the nurse should include in teaching a client with chronic bronchitis about breathing exercise is to exhaled through an open mouth (pursed lips) slowly and gently.

Exhaling through pursed lips help improve exhalation in clients with chronic obstructive lung diseases like chronic bronchitis.

For a client with chronic bronchitis exhalation should be longer than inhalation in order to exhale the air trapped in the airways.

Diaphragmatic breathing is helps strengthen the diaphragm and improve ventilation.
Hope this helps

 

H. Martin

H. Martin, Content Writer, Charlotte

Answered Sep 11, 2018

When you exhale, it should be longer than when you inhale to prevent the collapse of bronchioles. The patient with chronic bronchitis should exhale through pursed lips to extend exhalation, keep the bronchioles from collapsing and avoid air trapping. Diaphragmatic breathing, not chest breathing, increases lung capacity.

In persistent bronchitis, the diaphragm is flat and weak. Diaphragmic breathing helps to strengthen the diaphragm and maximize ventilation. Inspire slowly through the nose and exhale slowly through pursed lips. Deep breath as often as possible.

 

John Smith

John Smith

Answered Sep 09, 2016

Use diaphragmatic breathing.-rationale: in chronic bronchitis the diaphragm is flat and weak. diaphragmatic breathing helps to strengthen the diaphragm and maximizes ventilation. exhalation should be longer than inhalation to prevent collapse of the bronchioles. the client with chronic bronchitis should exhale through pursed lips to prolong exhalation, keep the bronchioles from collapsing, and prevent air trapping. diaphragmatic breathing not chest breathing increases lung expansion. client needs category: physiological integrity client needs subcategory: reduction of risk potential cognitive level: application reference: smeltzer, s.c., et al. brunner & suddarths textbook of medical-surgical nursing,11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 494.
 

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