Question

A patient with bronchiectasis is admitted to the nursing unit. The primary focus of nursing care for this patient includes which of the following?

a) Providing the patient with a low-calorie, high-fiber diet
b) Implementing measures to clear pulmonary secretions
c) Teaching the family how to perform postural drainage
d) Instructing the patient on the signs of respiratory infection

Answer 1

The primary nursing care focus for bronchiectasis is to implement measures to clear pulmonary secretions and to educate the patient on the signs of respiratory infection.

Step-by-step explanation:

The primary focus of nursing care for a patient with bronchiectasis includes implementing measures to clear pulmonary secretions. This can involve a variety of techniques such as airway clearance therapies to help loosen and remove thickened secretions from the airways, ensuring effective coughing, and possibly using devices such as nebulizers to deliver medications that help in the thinning of mucus.

Answer 2

Implementing measures to clear pulmonary secretions is the primary focus of nursing care for a patient with bronchiectasis, ensuring improved respiratory function and reduced infection risk.Thus the option B is correct.

Step-by-step explanation:

Bronchiectasis is a chronic respiratory condition characterized by the irreversible dilation of bronchi, leading to the accumulation of mucus and impaired clearance of secretions. Therefore, the primary focus of nursing care for a patient with bronchiectasis is implementing measures to clear pulmonary secretions. This involves techniques such as chest physiotherapy, postural drainage, and the use of bronchodilators to facilitate mucus clearance. These interventions aim to improve respiratory function, reduce the risk of respiratory infections, and enhance the overall quality of life for the patient.

Postural drainage is a crucial aspect of nursing care for bronchiectasis patients. This technique involves placing the patient in specific positions to allow gravity to assist in draining mucus from the affected bronchi. Teaching the family how to perform postural drainage ensures continuity of care beyond the hospital setting, empowering the patient and their support system to manage the condition effectively at home.

In addition to managing secretions, it is essential to educate the patient about the signs of respiratory infection. Early recognition of symptoms such as increased sputum production, changes in sputum color, and worsening shortness of breath can prompt timely medical intervention, preventing complications. This comprehensive approach addresses both the immediate needs of mucus clearance and the long-term goal of preventing respiratory infections in individuals with bronchiectasis.Thus the option B is correct.