A nurse is providing dietary teaching for a client who has chronic obstructive pulmonary disease. Which of the following instructions should the nurse include?

"Use a bronchodilator 1 hour before eating."

"Eat 3 large meals each day."

"Limit water intake with meals."

"Reduce protein intake."

None

Answer and Explanation

The Correct Answer is A

Using a bronchodilator 1 hour before eating can help reduce dyspnea and improve appetite for a client who has COPD. It can also facilitate oxygen delivery to the tissues and prevent hypoxia.

b)   Eating 3 large meals each day is not recommended for a client who has COPD, as it can cause abdominal distension and increase pressure on the diaphragm, leading to dyspnea and fatigue. A better option is to eat 5 to 6 small meals throughout the day.
c)   Limiting water intake with meals is not advisable for a client who has COPD, as it can cause dehydration and increase the viscosity of secretions, making them harder to expectorate. A better option is to drink at least 2 L of ﬂuids per day, preferably between meals.
d)   Reducing protein intake is not beneficial for a client who has COPD, as protein is essential for maintaining muscle mass and strength, especially of the respiratory muscles. A better option is to increase protein intake to at least 1.2 g/kg of body weight per day.

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Correct Answer is ["0.75"]

Explanation

To calculate the volume of solution, use the formula:

mL = (desired dose in mg / available dose in mg) x 1 mL

Plug in the given values:

mL = (6 mg / 8 mg) x 1 mL

Simplify and solve:

mL = 0.75 x 1 mL

mL = 0.75 mL

Round to the nearest hundredth and add a leading zero if needed:

mL = 0.75 mL

A. Post no smoking signs in a prominent location in the home. B. Verify the oxygen ﬂow rate every other day. C. Check the tops of the ears for skin breakdown. D. Apply petroleum ointment to nares if they become dry and irritated. E. Check the cannula position on a regular basis.

Correct Answer is ["A","C","E"]

Explanation

These are important safety and comfort measures for a client who uses home oxygen therapy via a nasal cannula.

The other options are not correct because:

b. Verify the oxygen ﬂow rate every other day. This is not frequent enough, as the ﬂow rate should be checked at least daily and whenever the client feels short of breath or has changes in vital signs.

d. Apply petroleum ointment to nares if they become dry and irritated. This is not recommended, as petroleum products can ignite in the presence of oxygen and cause burns or fire. A water-based lubricant should be used instead.

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A nurse is providing dietary teaching for a client who has chronic obstructive pulmonary disease. Which of the following instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to titrate morphine 6 mg via IV bolus to a client. The amount available is morphine 8 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.75"]

Explanation

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Correct Answer is ["A","C","E"]

Explanation

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