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Chapter 14: Special Nutritional Considerations for Pulmonary Health
16 problems · 0 figuresCase Study 14.1.1 §14.1 source ↗
Read the following clinical scenario and then answer the questions that follow. This case study will evolve throughout the chapter.
Unlike many other American adolescents, Kai grew up eating fresh fruits and vegetables. His family had fruit trees in his yard, so he grew up picking fresh fruits from their source. His mother would obtain the rest of their food items from the local food market, with everything being grown locally. Kai’s mother would cook all their meals at home, and he would walk to school and play football to get plenty of exercise. No one in his family smoked, and they rarely ate outside of the home.
What lifestyle choices in Kai’s adolescence might lead the nurse to believe that Kai comprehends the benefits of good lifestyle choices?- a.His family growing their own fruit
- b.His family’s history of eating fresh fruits and vegetables and his daily exercise
- c.His screen time
- d.His family not eating outside of the home
Answer
Case Study 14.1.2 §14.1 source ↗
Read the following clinical scenario and then answer the questions that follow. This case study will evolve throughout the chapter.
Unlike many other American adolescents, Kai grew up eating fresh fruits and vegetables. His family had fruit trees in his yard, so he grew up picking fresh fruits from their source. His mother would obtain the rest of their food items from the local food market, with everything being grown locally. Kai’s mother would cook all their meals at home, and he would walk to school and play football to get plenty of exercise. No one in his family smoked, and they rarely ate outside of the home.
What information from Kai’s past can the nurse incorporate into the dietary client’s education plan?- a.Previous history of adolescent exercise and dietary selection
- b.Smoking cessation
- c.History of food sourcing
- d.History of being a football star
Answer
Case Study 14.1.3 §14.1 source ↗
Read the following clinical scenario and then answer the questions that follow. This case study is a follow-up to Case Study Part A.
When Kai moved out of his parent’s house at age 20, he found it difficult to get a job, so he started working with a local construction company at age 24. Kai began smoking when he was 25 while working on the construction sites. He stated, “Smoking used to help me decompress.” The local construction company required Kai to work long hours, making healthy food choices and exercise incorporation challenging. Kai found himself relying on fast food options and the hard work on the construction sites as his daily “exercise.” Kai moved through the ranks and is now a foreman, where he supervises the employees under him at the job sites. He sits more frequently than he used to and found himself putting on more weight, jumping from 255 lb to 280 lb.
What lifestyle choices occur during adulthood might lead Kai to an increased risk for respiratory disease later in life?- a.Construction work, smoking, and eating fast foods
- b.Smoking, drinking alcohol, and exercising
- c.Eating fast foods, construction work, and drinking lots of water
- d.Smoking, construction work, and working long hours
Answer
Case Study 14.1.4 §14.1 source ↗
Read the following clinical scenario and then answer the questions that follow. This case study is a follow-up to Case Study Part A.
When Kai moved out of his parent’s house at age 20, he found it difficult to get a job, so he started working with a local construction company at age 24. Kai began smoking when he was 25 while working on the construction sites. He stated, “Smoking used to help me decompress.” The local construction company required Kai to work long hours, making healthy food choices and exercise incorporation challenging. Kai found himself relying on fast food options and the hard work on the construction sites as his daily “exercise.” Kai moved through the ranks and is now a foreman, where he supervises the employees under him at the job sites. He sits more frequently than he used to and found himself putting on more weight, jumping from 255 lb to 280 lb.
What lifestyle changes can Kai make early on to decrease his chance of developing a chronic respiratory disease?- a.Working out
- b.Smoking cessation and eating better
- c.Different job
- d.Go back to school
Answer
Case Study 14.2.5 §14.2 source ↗
| Today’s Vital Signs | Last Year’s Vital Signs and Exam Notes |
|---|---|
| Temperature: 97.6ºF Blood pressure: 128/89 mm Hg Heart rate: 99 beats/min Respiratory rate: 28 breaths/min Oxygen saturation: 89% on room air (drops to 77% while walking) Height: 6'0" Weight: 268 lb | Temperature: 98.0ºF Blood pressure: 126/82 mm Hg Heart rate: 89 beats/min Respiratory rate: 20 breaths/min Oxygen saturation: 92% on room air Height: 6'0" Weight: 280 lb The client presents with mild dry cough for 2 weeks. Client’s chest x-ray shows enlarged lung air pockets. The client does not have a history of respiratory conditions but stated he has smoked for 30 years. The client is a construction worker with a fluctuating dietary history. Recommendations for client include smoking cessation. |
Read the following clinical scenario and then answer the questions that follow. This case study is a follow-up to Case Study Parts A and B.
Kai is in the clinic today for difficulty breathing upon walking. His current vital signs are listed on the left side of the following table. Kai states that he has smoked for 30 years and frequently eats fast food because his job demands long hours and he does not have time for grocery shopping. You notice a cough; Kai states he does not know when it began exactly. He has noted a decrease in his weight, and he has a hard time working the long days his job demands because he becomes short of breath. You look at his chart, shown on the right side of the following table, which includes his vital signs and exam notes from his visit last year.
Based on the documented visit history, which of the following issues requires follow-up by the nurse during today’s visit?- a.Smoking
- b.Hydration status
- c.Dietary recommendations
- d.Workplace safety
Answer
Case Study 14.2.6 §14.2 source ↗
| Today’s Vital Signs | Last Year’s Vital Signs and Exam Notes |
|---|---|
| Temperature: 97.6ºF Blood pressure: 128/89 mm Hg Heart rate: 99 beats/min Respiratory rate: 28 breaths/min Oxygen saturation: 89% on room air (drops to 77% while walking) Height: 6'0" Weight: 268 lb | Temperature: 98.0ºF Blood pressure: 126/82 mm Hg Heart rate: 89 beats/min Respiratory rate: 20 breaths/min Oxygen saturation: 92% on room air Height: 6'0" Weight: 280 lb The client presents with mild dry cough for 2 weeks. Client’s chest x-ray shows enlarged lung air pockets. The client does not have a history of respiratory conditions but stated he has smoked for 30 years. The client is a construction worker with a fluctuating dietary history. Recommendations for client include smoking cessation. |
Read the following clinical scenario and then answer the questions that follow. This case study is a follow-up to Case Study Parts A and B.
Kai is in the clinic today for difficulty breathing upon walking. His current vital signs are listed on the left side of the following table. Kai states that he has smoked for 30 years and frequently eats fast food because his job demands long hours and he does not have time for grocery shopping. You notice a cough; Kai states he does not know when it began exactly. He has noted a decrease in his weight, and he has a hard time working the long days his job demands because he becomes short of breath. You look at his chart, shown on the right side of the following table, which includes his vital signs and exam notes from his visit last year.
The nurse is constructing a teaching plan for Kai to address potential complications of COPD. Which of the following conditions will the nurse include in the plan?- a.Asthma
- b.Respiratory syncytial virus
- c.Pulmonary fibrosis
- d.Pneumonia
Answer
14-1 §14.RQ source ↗
- a.Carbohydrates
- b.Vitamin C
- c.Proteins
- d.Vitamin B
Answer
14-2 §14.RQ source ↗
- a.Iron
- b.Protein
- c.Vitamin C
- d.Omega-3 fatty acids
Answer
14-3 §14.RQ source ↗
- a.The fetus will experience lower blood glucose levels.
- b.The fetus will develop a slower-than-normal heart rate.
- c.The fetus may develop cognitive and behavioral delays.
- d.The fetus may experience hormone imbalances.
Answer
14-4 §14.RQ source ↗
- a.Steak
- b.Coffee
- c.Grapefruit
- d.Kale
Answer
14-5 §14.RQ source ↗
- a.Proteins, vitamins A, D, and E, and omega-3 fatty acids
- b.Carbohydrates and vitamins A, D, and E
- c.Proteins and iron
- d.Fats, vitamins B12 and B6, and calcium
Answer
14-6 §14.RQ source ↗
- a.Good nutrition is important, although it does not prevent acute respiratory tract infections.
- b.Nutrition only affects lung tissue repair, not the immune system.
- c.Improper nutritional intake alters the immune system but does not impact lung health.
- d.Nutrition plays a role in supporting the immune system to prevent and treat infection and repair lung tissue.
Answer
14-7 §14.RQ source ↗
- a.Salmon or other fatty fish
- b.A lean protein such as chicken
- c.At least one serving of fruits and vegetables
- d.A serving of red meat
Answer
14-8 §14.RQ source ↗
- a.Saturated fats
- b.Carbohydrates
- c.Vitamins
- d.Unsaturated fats
Answer
14-9 §14.RQ source ↗
- a.To limit the immune system’s response
- b.To increase the immune system’s response
- c.To decrease lung function and reduce coughing
- d.To minimize the duration of and decrease the risk for infections
Answer
14-10 §14.RQ source ↗
- a.“I know my GI tract is not getting as much oxygen as it used to, so I need to make sure I get enough vitamins and minerals in my body.”
- b.“I need to eat whatever I feel like I can – calories are the most important thing.”
- c.“I need to eat as much protein as possible.”
- d.“I need to try to avoid foods high in calcium as these can affect my condition.”
Answer
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Problems and answers are adapted from Nutrition for Nurses by Emerald Charity Bilbrew, Jody Vogelzang and Kelli Whittington, OpenStax, and are used under the CC BY-NC-SA 4.0 licence. Access for free at https://openstax.org/books/nutrition/pages/1-introduction. Illustrations: Copyright Rice University, OpenStax, under CC BY-NC-SA 4.0 license. This adaptation is released under the same licence, is non-commercial, and is neither affiliated with nor endorsed by OpenStax or Rice University.