A transitional care nurse is finalizing the self-care maintenance protocol for a 74-year-old client recovering from a severe exacerbation of chronic obstructive pulmonary disease (COPD). The client has a baseline of mild cognitive decline and will receive daily assistance from a home health unlicensed assistive personnel (UAP). Which components of the self-care plan demonstrate safe and effective nursing practice? (Select all that apply.)
- Teaching the client to use a shower chair and to sit at the sink while performing daily grooming activities.Cevap
- Instructing the client to consume small, frequent, high-protein and high-calorie meals throughout the day.Cevap
- CDirecting the UAP to evaluate the client's respiratory effort and pulse oximetry readings before assisting with morning bathing.
- DEducating the family that sudden, acute episodes of disorientation are an expected progression of the client's normal aging process.
- EAdvising the family to position the client completely flat in a supine position for at least one hour after meals to maximize rest.
- FCategorizing the client's upcoming scheduled dual-energy x-ray absorptiometry (DEXA) scan as a vital primary prevention strategy.
Cevap
The correct components are teaching the client to use a shower chair and instructing the client to consume small, frequent, high-protein and high-calorie meals.
The correct statements demonstrate essential self-care strategies for COPD. Energy conservation techniques, such as sitting while bathing and grooming, reduce oxygen consumption and prevent severe fatigue. Additionally, the increased work of breathing in COPD raises metabolic demands; providing small, frequent, high-protein, and high-calorie meals ensures adequate nutrition without causing abdominal distention that could press against the diaphragm and restrict lung expansion.
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Anahtar Kavram
Self-Care Management in Chronic Obstructive Pulmonary Disease (COPD)