A 62-year-old patient with emphysema states that he typically has two alcoholic drinks each evening to "help him relax." Your best response would be to
a. reassure him that by limiting his alcoholic intake to two drinks, he should not experience any serious effects on his respiratory functioning.
b. caution him that he is at risk for pneumoconiosis.
c. inform him that alcohol may decrease his carbon dioxide levels.
d. inform him that alcohol decreases the efficiency of his lung's defense mechanisms.
D
Alcohol decreases the efficiency of lung defense mechanisms and predisposes the patient to aspiration pneumonia. Patients with emphysema in the late stage have carbon dioxide retention that makes them more sensitive to alcohol's depressant effect. He is not at risk for pneumoconiosis, which is a lung disease caused by chronic inhalation of dust, usually mineral dust of occupational or environmental origin.
You might also like to view...
A patient with Cushing's syndrome is being admitted to the hospital. When completing a physical assessment, the nurse would specifically observe for which of the following manifestations?
A) Alopecia B) Yellowish discoloration to the skin C) Bronze pigmentation to the skin D) Hirsutism
What role will a new nurse graduate who has a BSN expect to play in research?
a. Appraising studies and implementing evidence-based guidelines and protocols. b. Developing, evaluating, and revising evidence-based guidelines and protocols. c. None, since the BSN affords limited education on the research process. d. Synthesizing findings and leading health care teams to make evidence-based changes.
A client is diagnosed with bronchial asthma. What should the nurse include in the client
education? A) Take precautions to prevent the transmission of the disease B) Avoid sleeping in a supine position to avoid recurrent asthma attacks C) Rinse and clean the mouthpiece of the inhaler daily D) Instruct the client to avoid deep breathing exercises
A nurse manager is collecting staff views about a current unit problem to make a decision about actions to take. Which style of decision-making is this manager employ?
1. Unilateral 2. Individual 3. Authoritarian 4. Consensus