COPD Management and Care

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Questions and Answers

What is a key indicator of a client's ability to tolerate nutrition and dietary recommendations for COPD management?

Ability to eat three full meals a day

Weight loss of 5% in one month

Weight stable within normal range for sex, height, and age (correct)

Ability to consume a high-calorie diet

Which of the following breathing techniques is often taught to clients with COPD to decrease dyspnea?

Diaphragmatic breathing

Pursed-lip breathing (correct)

Yoga breathing

Hyperventilation

What is a key aspect of home care management for clients with COPD?

Scheduled visits from a home care nurse for monitoring and evaluation (correct)

Daily phone calls from a healthcare provider

Unlimited access to oxygen therapy at home

24-hour care for ADLs in a long-term care facility

Which community resource may be beneficial in providing emotional support to clients with COPD?

COPD support group Signup and view all the answers

What is a common concern for clients with COPD that may impact their ability to manage their disease?

Financial concerns due to disability Signup and view all the answers

What is a key aspect of self-management education for clients with COPD?

Teaching clients to recognize and report evidence of possible infection Signup and view all the answers

A client with COPD is prescribed a high-calorie, high-protein diet. What is the primary reason for this?

To increase energy levels and support breathing Signup and view all the answers

What is the primary goal of medication therapy in clients with COPD?

To manage symptoms and slow disease progression Signup and view all the answers

Which breathing technique is recommended to help improve gas exchange in clients with COPD?

Diaphragmatic breathing Signup and view all the answers

What is an important aspect of home care management for clients with COPD?

Maintaining a clean and dust-free environment Signup and view all the answers

Why is it essential to allow clients with COPD to express their feelings?

To reduce their anxiety and depression Signup and view all the answers

What is the primary reason for teaching clients with COPD about proper nutrition?

To increase their energy levels and support breathing Signup and view all the answers

What is the primary goal of health promotion in clients with COPD?

To prevent infections and reduce mortality Signup and view all the answers

What is an essential aspect of client and family teaching for clients with COPD?

Teaching proper use of inhalers with spacers Signup and view all the answers

What is the primary goal of treatment for asthma patients?

Maintaining airway patency and optimal ventilation Signup and view all the answers

What is the purpose of a pulmonary function test in asthma diagnosis?

To evaluate the degree of airway obstruction Signup and view all the answers

Which of the following is NOT a diagnostic test for asthma?

ECG Signup and view all the answers

What is the purpose of bronchial provocation testing in asthma diagnosis?

To confirm asthma diagnosis and detect airway hyperresponsiveness Signup and view all the answers

What is a key component of nursing and interprofessional care for asthma patients?

Promoting effective breathing pattern Signup and view all the answers

What is a common outcome of asthma exacerbation?

Panic/anxiety attack Signup and view all the answers

Study Notes

COPD Management

Achieve effective breathing pattern to decrease work of breathing
Report decreased dyspnea, using pursed-lip breathing
Tolerate small, frequent meals; maintain weight stability
Normal serum protein and albumin levels; no fever or changes in sputum
Report walking longer distances without tiring; able to complete ADLs with rest periods
Express feelings about living with chronic disease; seek support group

COPD Home Care Management

Long-term oxygen use at home
Clients with advanced disease may require 24-hour care for ADLs
Nurse may collaborate with healthcare professionals to provide necessary equipment at home
Scheduled visits from a home care nurse for monitoring and evaluation
Financial concerns may increase anxiety; client may require disability

Self-Management Education

Teach client to recognize and report signs of infection (fever, increased sputum, fatigue, and increased dyspnea)
Educate on COPD management, nutrition, and exercise

Asthma

Chronic inflammatory disorder of the airways characterized by recurrent episodes of wheezing, breathlessness, chest tightness, and coughing
Treatment goals: control symptoms, prevent acute attacks, maintain airway patency, and promote effective breathing pattern

Implementing Nursing Plans

Teach client to be a partner in COPD management
Maintain airway patency through breathing techniques, positioning, effective coughing, oxygen therapy, suctioning, and increased hydration
Teach nutritional therapy to maintain a healthy BMI and eat small, frequent meals
Allow client to express feelings and explore positive coping mechanisms
Pace activities with rest periods to conserve energy
Medication therapy (bronchodilators, inhaled corticosteroids)
Health promotion: smoking cessation, infection prevention, and proper hand hygiene

Evaluation

Evaluate care of client with COPD based on identified priorities
Key expected outcomes: attain and maintain gas exchange, maintain a patent airway, and reduce anxiety

Asthma Statistics

Affects over 3.8 million Canadians, including 850,000 children under 14
Third-most common chronic disease in Canada
Every day, over 300 Canadians are diagnosed with asthma
Estimated 250 Canadians die from asthma attacks every year

Diagnostic Tests

Pulmonary function test: evaluates degree of airway obstruction
Arterial blood gas: evaluates CO2 elimination and acid-base status
Routine labs and tests for immunoglobulin E (allergies)
Challenge or bronchial provocation testing: confirms asthma diagnosis
Skin testing: detects specific allergen triggers

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Description

This quiz assesses the understanding of effective COPD management and care. It covers breathing patterns, nutrition, and emotional well-being.