The nurse teaches a patient about pursed lip breathing. Which ...

[geoffrey]

The nurse teaches a patient about pursed lip breathing. Which action by the patient would indicate to the nurse that further teaching is needed?
 
  a. The patient inhales slowly through the nose.
  b. The patient puffs up the cheeks while exhaling.
  c. The patient practices by blowing through a straw.
  d. The patient's ratio of inhalation to exhalation is 1:3.

Question 2

The nurse interviews a patient with a new diagnosis of chronic obstructive pulmonary disease (COPD). Which information is most helpful in confirming a diagnosis of chronic bronchitis?
 
  a. The patient tells the nurse about a family history of bronchitis.
  b. The patient's history indicates a 30 pack-year cigarette history.
  c. The patient complains about a productive cough every winter for 3 months.
  d. The patient denies having any respiratory problems until the last 12 months.

[nmyers]

Answer to Question 1

ANS: B
The patient should relax the facial muscles without puffing the cheeks while doing pursed lip breathing. The other actions by the patient indicate a good understanding of pursed lip breathing.

Answer to Question 2

ANS: C
A diagnosis of chronic bronchitis is based on a history of having a productive cough for 3 months for at least 2 consecutive years. There is no family tendency for chronic bronchitis. Although smoking is the major risk factor for chronic bronchitis, a smoking history does not confirm the diagnosis.