A nurse is caring for a client who has COPD and is 5 kg (11 lb) below her ideal body weight. The client experiences shortness of breath when eating. Which of the following actions should the nurse take?
Administer a bronchodilator following meals.
Limit the client's food consumption between meals.
Arrange for a low-protein diet.
Request non-gas-forming foods from the dietary department.
The Correct Answer is D
Rationale:
A. Administer a bronchodilator following meals: Bronchodilators should be administered before meals, not after, to help relieve shortness of breath and improve the client’s ability to eat without fatigue or dyspnea. Giving them afterward does not assist with eating difficulties.
B. Limit the client's food consumption between meals: Restricting food intake between meals would reduce overall caloric intake, which is counterproductive for a client who is underweight and experiencing nutritional deficits due to COPD. Frequent small meals are usually recommended.
C. Arrange for a low-protein diet: Clients with COPD who are underweight often need adequate protein to maintain muscle mass and respiratory function. A low-protein diet could worsen malnutrition and impair recovery.
D. Request non-gas-forming foods from the dietary department: Non-gas-forming foods reduce bloating and abdominal discomfort, which can make eating easier for clients with COPD who experience dyspnea. This intervention supports improved caloric intake and minimizes respiratory compromise during meals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Instruct the client to discard the medication in the toilet: Disposing of medication in the toilet is not a recommended first action, as it does not address the client’s question about safely taking a half dose. Safe disposal is only necessary for expired or unwanted medications.
B. Manually break the tablets in half: Manually breaking tablets without knowing if they are designed to be split can lead to inaccurate dosing and affect drug efficacy. Some medications are not safe to split due to extended-release properties or uneven distribution of active ingredients.
C. Determine if the tablets are scored: Scored tablets are specifically designed to be split, ensuring accurate dosing. The nurse should verify whether the medication is scored before advising the client to cut it, ensuring safety and effectiveness of the prescribed dose.
D. Ask the pharmacy to create a liquid version of the medication: While a liquid formulation may be appropriate for accurate dosing if the tablet cannot be safely split, the first step is to confirm whether the current tablet can be divided. The pharmacy can then provide alternatives if splitting is unsafe.
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A. Inactivated influenza vaccine: The inactivated influenza vaccine is safe during any trimester of pregnancy and helps protect both the mother and the fetus from influenza-related complications. It is routinely recommended for pregnant clients during flu season.
B. Varicella vaccine: The varicella vaccine is a live attenuated vaccine and is contraindicated during pregnancy because it poses a risk of fetal infection and congenital abnormalities. It should be administered before pregnancy or postponed until after delivery.
C. Tetanus, diphtheria, and acellular pertussis vaccine: The Tdap vaccine is recommended during pregnancy, ideally between 27 and 36 weeks gestation, to protect the newborn from pertussis. It is safe and provides passive immunity to the infant.
D. Inactivated polio vaccine: Inactivated polio vaccine (IPV) is safe during pregnancy and can be administered if the client is at risk for exposure or requires immunization. Live attenuated oral polio vaccine is contraindicated.
E. Rubella vaccine: The rubella vaccine is a live attenuated vaccine and is contraindicated during pregnancy due to the risk of congenital rubella syndrome. Women should be screened for immunity prior to pregnancy and vaccinated if nonimmune before conception.
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