What do such conditions include? The nurse in charge formulates a nursing diagnosis of Activity intolerance related to inadequate oxygenation and dyspnea for a client with chronic bronchitis. To minimize this problem. the nurse instructs the client to avoid conditions that increase oxygen demands. Such conditions include:
Conditions that increase oxygen demands include obesity. smoking. exposure to temperature extremes. and stress. A client with chronic bronchitis should drink at least 2.000 ml of fluid daily to thin mucus secretions; restricting fluid intake may be harmful. The nurse should encourage the client to eat a high-protein snack at bedtime because protein digestion produces an amino acid with sedating effects that may ease the insomnia associated with chronic bronchitis. Eating more than three large meals a day may cause fullness. making breathing uncomfortable and difficult; however. it doesnt increase oxygen demands. To help maintain adequate nutritional intake. the client with chronic bronchitis should eat small. frequent meals (up to six a day).