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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Intermittent claudication with pallor is typically associated with peripheral artery disease (PAD) rather than myocardial infarction.
B. Jugular vein distention and dependent edema are signs of right-sided heart failure, which may develop after an MI but are not classic acute MI symptoms.
C. Mid-epigastric pain and heartburn can sometimes be confused with MI symptoms, but heartburn alone is not diagnostic of an MI.
D. Diaphoresis and cool clammy skin are correct. These symptoms occur due to sympathetic nervous system activation in response to cardiac ischemia, leading to vasoconstriction, sweating, and signs of impending shock.

A. "Try taking a mild analgesic to relieve the headache." B. "Take only one dose of nitroglycerin to reduce the risk of getting a headache." C. "We will ask the provider to prescribe a different medication for you." D. "There's nothing that can be done to relieve the headaches that nitroglycerin causes."

Correct Answer is A

Explanation

A. "Try taking a mild analgesic to relieve the headache." is correct. Nitroglycerin-induced headaches are a common side effect due to vasodilation. Mild analgesics such as acetaminophen can help alleviate the discomfort.
B. Taking only one dose to reduce the risk of a headache is inappropriate. The client should follow the prescribed dosing regimen to manage angina effectively. Skipping doses may increase the risk of angina attacks.
C. Requesting a different medication is not necessary. Nitroglycerin is an effective treatment for stable angina, and headaches typically diminish over time as the body adjusts to the medication.
D. Stating that nothing can be done to relieve the headaches is incorrect. Headaches from nitroglycerin can be managed with mild analgesics or by adjusting the timing of medication administration.

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Why are small, frequent meals recommended for patients with Chronic Obstructive Pulmonary Disease (COPD)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client comes into the emergency room with complaints of persistent, crushing chest pain. Along with the chief complaint, what other symptoms would make the nurse suspect that the client is experiencing a myocardial infarction (MI)?

Correct Answer is D

Explanation

A nurse in a provider's clinic is assessing a client who takes sublingual nitroglycerin for stable angina. The client reports getting a headache each time he takes the medication. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

The nurse knows that which of the following positions is the best position for a client diagnosed with COPD?

A nurse is teaching a class about sleep disorders. The nurse should include that which of the following conditions can cause obstructive sleep apnea (OSA)?

A nurse is admitting a client who has a history of heart failure. Exhibits Check the 5 findings that require immediate follow-up.

The nurse is providing care for a client admitted to rule out a myocardial infarction who is experiencing chest pain while walking to the bathroom. Which action should the nurse implement first?

Which statement indicates to the nurse the client diagnosed with sleep apnea needs further teaching?

The client is being discharged with a prescription of prednisone. Which of the following is not a common side effect for this corticosteroid?

A nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin sublingual tablets. Which of the following statements by the client indicates an understanding of the teaching?

A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?