A client with an acute upper respiratory infection wants to know what diet he should follow to help treat his symptoms. Which diet would the nurse advise the client to follow?

Increased protein

Soft, bland diet

Clear liquid

The client should be held NPO until symptoms improve

Answer and Explanation

The Correct Answer is C

A. Increased protein: While protein supports immune function, high-protein diet is not the priority in the acute phase of an upper respiratory infection. The client may also have decreased appetite, sore throat, or nasal congestion, making solid food difficult to consume.

B. Soft, bland diet: This may be suitable for gastrointestinal issues or during recovery from oral or throat surgery, but it is not specifically indicated for upper respiratory infections. It also doesn't provide adequate hydration, which is a key focus during respiratory illness.

C. Clear liquid: A clear liquid diet helps keep the client hydrated, soothes throat irritation, and is easier to tolerate during acute illness. Broths, juices, teas, and electrolyte fluids help thin mucus secretions and prevent dehydration, which supports symptom management and recovery.

D. The client should be held NPO until symptoms improve: There is no reason to keep a client with an upper respiratory infection NPO unless they are experiencing vomiting or altered consciousness. Doing so would risk dehydration and slow recovery.

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Correct Answer is A

Explanation

A. White blood cell (WBC) count, arterial blood gases (ABGs):WBC count helps assess the presence and severity of infection, while ABGs evaluate the patient’s oxygenation and gas exchange critical factors in pneumonia. These tests directly reflect respiratory function and the inflammatory response.

B. Complete blood count (CBC), urinalysis:While a CBC includes the WBC count, the rest of the values are not directly helpful in tracking pneumonia progression. A urinalysis assesses kidney and urinary tract health, not respiratory infection, so it is not essential.

C. Electrolytes, serum creatinine:These tests provide information on renal function and electrolyte balance, which may be relevant in complex cases but are not specific indicators of pneumonia status or treatment response.

D. Partial thromboplastin time (PTT), serum potassium:PTT evaluates clotting, and serum potassium assesses electrolyte balance. Neither test provides useful information about the progression or resolution of pneumonia.

A. "It could be a heart attack, and when the heart is damaged it causes respiratory damage, too." B. "It isn't a heart attack, but your heart has gradually weakened over the years, causing respiratory disease." C. It is probably a heart attack, since cor pulmonale means that the heart isn't getting enough blood and becomes too weak to pump effectively." D. "You aren't having a heart attack, but your heart has been damaged by changes in your lungs caused by your respiratory disease."

Correct Answer is D

Explanation

A. "It could be a heart attack, and when the heart is damaged it causes respiratory damage, too.” This misrepresents the pathophysiology of cor pulmonale. Cor pulmonale results from lung disease impacting heart function, not vice versa.

B. "It isn't a heart attack, but your heart has gradually weakened over the years, causing respiratory disease."In cor pulmonale, chronic respiratory disease leads to right-sided heart failure not the other way around.

C. "It is probably a heart attack, since cor pulmonale means that the heart isn't getting enough blood and becomes too weak to pump effectively."Cor pulmonale, is not about coronary blood flow but rather the increased pulmonary pressure due to chronic lung disease that strains the right side of the heart.

D. "You aren't having a heart attack, but your heart has been damaged by changes in your lungs caused by your respiratory disease."Cor pulmonale is right-sided heart failure caused by chronic lung disease such as COPD. Increased resistance in the pulmonary circulation puts strain on the right ventricle, leading to its dysfunction.

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A client with an acute upper respiratory infection wants to know what diet he should follow to help treat his symptoms. Which diet would the nurse advise the client to follow?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with pneumonia. Which laboratory test would best help the nurse to monitor the condition of this patient?

Correct Answer is A

Explanation

A patient, age 68, has a long history of COPD and is admitted to the hospital with cor pulmonale. He says his doctor said his heart was failing and asks whether he is having a heart attack. Which explanation by the nurse is most correct?

Correct Answer is D

Explanation

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