The nurse is teaching a client with chronic bronchitis about energy conservation techniques. Which strategy should the nurse include in the teaching?

Correct Answer: C

Rationale: The correct answer is C: Sitting while performing tasks like cooking or ironing. This strategy helps conserve energy by reducing the strain on the respiratory system, which is important for clients with chronic bronchitis. Sitting minimizes the energy expenditure required for these tasks, allowing the client to conserve energy for other activities. Choice A is incorrect because avoiding long periods of rest is not recommended for clients with chronic bronchitis as they need to conserve energy to prevent exacerbations. Choice B is incorrect because high-intensity exercises can actually worsen symptoms and strain the lungs in clients with chronic bronchitis. Choice D is incorrect because taking deep breaths before physical activity may not necessarily conserve energy and could potentially lead to increased respiratory effort.

Correct Answer: C

Rationale: The correct answer is C: Tracheostomy collar. This equipment is most appropriate for a client with a tracheostomy because it is specifically designed to deliver oxygen directly to the tracheostomy site. The tracheostomy collar ensures proper oxygen delivery without interfering with the tracheostomy tube. A: Nasal cannula is not appropriate for a client with a tracheostomy as it delivers oxygen through the nose, bypassing the tracheostomy site. B: Non-rebreather mask is not ideal for a tracheostomy client as it may not deliver oxygen effectively to the tracheostomy site. D: Venturi mask may not be suitable for a tracheostomy client as it may not provide the precise oxygen concentration required.

Correct Answer: A

Rationale: The correct answer is A: Hold your breath for 10 seconds after inhaling the medication. This is because holding the breath allows the medication to reach deep into the lungs for better absorption and effectiveness. Choice B is incorrect as taking deep, fast breaths can cause hyperventilation. Choice C is incorrect as cleaning nebulizer equipment daily should be done with soap and water, not alcohol. Choice D is incorrect as there is no need to avoid drinking fluids after the treatment.

Correct Answer: A

Rationale: The correct answer is A: Avoid bronchodilators for 6 hours before the test. This instruction is crucial because bronchodilators can affect the test results by altering airway function. By avoiding bronchodilators, the client ensures accurate PFT results. Refraining from eating or drinking (B) is not necessary for PFT. Performing light exercise (C) could affect the test results. Wearing tight clothing (D) can impede lung expansion and alter the results.

Correct Answer: B

Rationale: The correct answer is B: Prevents alveolar collapse. Incentive spirometry helps to prevent atelectasis by promoting deep breathing and improving lung expansion, preventing alveoli from collapsing. This process keeps the airways open and maintains lung function. Incorrect choices: A: Increases oxygen saturation - While incentive spirometry can help improve oxygenation indirectly by enhancing lung function, its primary benefit is to prevent alveolar collapse. C: Reduces respiratory rate - Incentive spirometry focuses on improving lung expansion and preventing atelectasis, not specifically on reducing respiratory rate. D: Decreases mucus production - Incentive spirometry does not directly impact mucus production; its primary goal is to maintain lung function and prevent complications like atelectasis.