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 []
Explanation
Condition: The client is most likely experiencing B. Acute Renal Failure. This is suggested by the client’s reported anuria (absence of urine), erythema around the arteriovenous fistula (AVF) site, and the CT scan showing distention with fluid and gas in the small intestine.
Action: The nurse should take the following actions to address this condition:
- A. Administer IV fluids as prescribed: This can help manage the client’s hydration and electrolyte balance.
- E. Administer pain medication as prescribed: This can help manage any discomfort the client may be experiencing.
Parameter: The nurse should monitor the following parameters to assess the client’s progress:
- A. Monitor blood pressure: Monitoring blood pressure is crucial in patients with acute renal failure as both hypotension and hypertension can occur.
- E. Monitor urine output: This is a key indicator of kidney function and should be closely monitored. Changes in urine output can provide early signs of improvement or deterioration in the client’s condition.
Correct Answer is A
Explanation
Choice A rationale
Sudden jaw pain can be a symptom of a heart attack. It’s important to seek immediate medical attention if this occurs.
Choice B rationale
While some people may experience hot, dry, and flushed skin during a heart attack, it’s not a common symptom and should not be relied upon as an indicator.
Choice C rationale
Waiting 30 minutes before taking action if experiencing heartburn is not advisable, especially if the individual has a history of heart disease. Heartburn can sometimes be a symptom of a heart attack.
Choice D rationale
Nitroglycerin is typically taken at the first sign of chest pain. If the pain does not improve or worsens after one dose, it’s important to seek immediate medical attention.
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