Why are small, frequent meals recommended for patients with Chronic Obstructive Pulmonary Disease (COPD)?
To increase caloric intake by snacking throughout the day
To allow for more social interaction during meals
To ensure all food groups are consumed daily
To reduce the risk of dyspnea during meals
The Correct Answer is D
A. While increasing caloric intake is important, the primary reason for small, frequent meals is to prevent dyspnea.
B. Social interaction is beneficial, but it is not the main reason for recommending small, frequent meals.
C. Ensuring a balanced diet is important, but not the specific reason for this recommendation.
D. Eating large meals can cause abdominal distention and pressure on the diaphragm, leading to dyspnea. Small, frequent meals help prevent this.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Encouraging increased fluid intake is incorrect. Clients with heart failure are at risk for fluid overload, and excessive fluid intake can worsen symptoms.
B. Simply monitoring and documenting findings is insufficient. A 2-pound weight gain in a short period suggests fluid retention and worsening heart failure, requiring further assessment and possible intervention.
C. Performing a head-to-toe assessment, including vital signs, is correct. The nurse should assess for worsening heart failure, including lung sounds (crackles), respiratory effort, blood pressure, and oxygen saturation, to determine if immediate interventions are needed.
D. Checking code status is not the priority. While knowing a client’s code status is important, the immediate concern is assessing for signs of fluid overload and potential decompensation.
Correct Answer is B
Explanation
A. Nitroglycerin is used in the acute phase of an MI to relieve chest pain by dilating coronary arteries. However, after the initial phase, it is not the primary medication for managing pain and anxiety.
B. Morphine is administered after the initial acute phase to manage pain and anxiety. It reduces myocardial oxygen demand, decreases pain perception, and provides sedation, which can help lower stress levels.
C. Aspirin is given in the acute phase to prevent further clot formation but does not address pain and anxiety.
D. Oxygen is administered in the acute phase if the client is hypoxic, but routine oxygen therapy is no longer recommended unless needed.
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