4.Pulmonary hypertension will lead to right-sided failure, and clients should be assessing their blood pressures to watch for changes. 5.Immunizations for influenza and pneumonia are needed only by clients who are out and about in the community when people are sick. Answer: 1; 3; 4 Smoking and tobacco exposure are the greatest risk of damage to lung tissue, and should be avoided. Even secondhand smoke has proven to be as great a risk to lung damage as direct exposure. Due to increased efforts to breathe and exchange air in diseased lung tissue, additional calories are burned and moisture is lost with increased breathing rates. Additional fluids and calories are required for most respiratory clients. Pulmonary hypertension can occur in long-term respiratory clients due to pulmonary congestion causing a backup in the right side of the heart. Regular blood pressure checks should be done to follow the progression of cardiac functioning. Tissue that is damaged or scarred by disease will not become healthy again once smoking is stopped. Stopping smoking will prevent or additional changes to lung tissue from past exposure. Immunizations are needed as a preventive measure for all respiratory clients to minimize additional stress caused by infection in already damaged lung tissue. Therefore, all clients should receive the immunizations each year. Bloom’s: Application Nursing Process: Planning Client Need: Health Promotion and Maintenance downloadfullfileat
