Which topics would be appropriate to instruct a patient diagnosed with occupational lung disease? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Methods to conserve energy and increase rest
2. Restricting fluids due to increased edema
3. Counseling for caregiver role strain from chronic disease management
4. Avoiding air pollutants and cigarette smoke
5. Importance of wearing personal protective equipment against occupational exposure
1,3,4,5
Rationale 1: With progressive lung damage from asbestos, chemicals, coal, or other irritants, the patient would have less tissue available to exchange air. Energy conservation would decrease oxygen demand in the body when at rest by decreasing the basal metabolic requirements of the cells.
Rationale 2: Restricting fluids due to increased edema is contraindicated for patients with lung disease.
Rationale 3: Caregiver role strain is a common problem and should be discussed, especially because of expected role changes due to the patient's progressive decline and increasing activity intolerance as more lung tissue is damaged by the onset of the complication of COPD.
Rationale 4: Avoidance of air pollution and smoking will reduce additional damage and maximize airflow for a greater period of time.
Rationale 5: Personal protective equipment is designed to reduce occupational exposure to hazardous materials.
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