A nurse is reinforcing teaching with a client who has COPD and reports shortness of breath and little appetite. Which of the following instructions should the nurse include in the teaching?
Limit fluid intake during meals.
Consume three regular meals daily.
Eat lighter, low-calorie foods first.
Eliminate dairy products.
The Correct Answer is A
Choice A rationale
For a client with COPD who reports shortness of breath and little appetite, limiting fluid intake during meals can help to prevent early satiety and promote better food intake. Fluids can make the client feel full quickly, which can limit their intake of necessary nutrients.
Choice B rationale
Consuming three regular meals daily may not be the best approach for a client with COPD who has little appetite. Smaller, more frequent meals may be easier for the client to tolerate.
Choice C rationale
Eating lighter, low-calorie foods first is not the best advice for a client with COPD who has little appetite. The client may need high-calorie, nutrient-dense foods to meet their nutritional needs.
Choice D rationale
Eliminating dairy products is not generally recommended for clients with COPD unless they have a specific intolerance. Dairy products can be a good source of protein and other nutrients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
Choice A rationale
Scheduled times for dressing changes are not typically included in transfer documentation. This information is usually part of the patient’s daily care plan and can be communicated to the receiving unit as needed.
Choice B rationale
The primary health problem is crucial information to include in the transfer documentation. It provides the receiving unit with a clear understanding of the patient’s main health issue and the reason for their transfer.
Choice C rationale
Admission vital signs from 1 week ago are not typically included in transfer documentation. The most recent vital signs are more relevant and provide a better indication of the patient’s current health status.
Choice D rationale
Current medication prescriptions are essential to include in the transfer documentation. This information ensures continuity of care and prevents medication errors.
Choice E rationale
The number of family members who have visited is not typically included in transfer documentation. This information is not directly related to the patient’s health status or care needs.
Correct Answer is B
Explanation
Choice A rationale
Intermittent abdominal pain is not typically associated with total parenteral nutrition (TPN) or burn injuries.
Choice B rationale
Increased serum glucose levels can occur with TPN due to the high glucose content of the solution. This should be monitored closely, especially in patients with burns, who may have altered glucose metabolism.
Choice C rationale
Absent bowel sounds are not typically associated with TPN or burn injuries.
Choice D rationale
Decreased calcium levels are not typically associated with TPN or burn injuries.
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