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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?

a) "I will use my bronchodilator before exercising."
b) "I will restrict my fluid intake to avoid shortness of breath."
c) "I will sleep in a flat position to maximize lung expansion."
d) "I will avoid getting the flu vaccine because it can worsen my symptoms."

1 Answer

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Final answer:

The correct self-management strategy for a client with emphysema is to use a bronchodilator before exercising, which helps open airways and makes breathing easier. The correct option is A.

Step-by-step explanation:

The question pertains to a nurse providing teaching to a client with emphysema, a type of COPD (Chronic Obstructive Pulmonary Disease), about self-management strategies. Of the options provided, the statement that indicates an understanding of the teaching is "I will use my bronchodilator before exercising."

Using a bronchodilator before physical activity can help to open airways and decrease the work of breathing, thus making it easier to participate in exercise which is important for maintaining lung function. Restricting fluid intake is not recommended as it can lead to dehydration and thicker mucus, which is harder to clear.

Sleeping in a flat position might make it more difficult for emphysema patients to breathe, and getting recommended vaccinations like the flu vaccine can help prevent illnesses that could exacerbate COPD symptoms.

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