A nurse is caring for a client who has COPD. The client tells the nurse, "I get short of breath during meals. It is too much trouble to eat." Which of the following instructions should the nurse suggest?

"Have several small meals during the day."

"Limit snacking between meals."

"Eat one food at a time during meals."

"Consume a full-liquid diet."

Answer and Explanation

The Correct Answer is A

A. "Have several small meals during the day.": Smaller, more frequent meals reduce the work of breathing required during eating, as large meals can increase diaphragmatic pressure and exacerbate dyspnea in clients with COPD. This strategy helps maintain adequate nutritional intake without causing fatigue or shortness of breath.

B. "Limit snacking between meals.": Restricting snacks may lead to insufficient caloric intake, which can worsen weight loss and muscle weakness common in COPD. Frequent small meals, including healthy snacks, are preferred to maintain energy levels and support respiratory muscle function.

C. "Eat one food at a time during meals.": While simplifying meals can help some clients, the key intervention for dyspnea management during meals is controlling meal size and frequency. Focusing on single foods does not significantly reduce the work of breathing.

D. "Consume a full-liquid diet.": A full-liquid diet is generally unnecessary unless swallowing difficulties exist. Liquids alone may not provide sufficient calories or protein for clients with increased energy expenditure due to COPD and may contribute to malnutrition.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

A. "Extension cords can be placed under floor mats.": Placing cords under floor mats is unsafe because it increases the risk of overheating, fraying, and fire. It also creates a tripping hazard. Proper cord management involves keeping cords visible and free from pressure or obstructions.

B. "Paper tape should be used to secure extension cords to the floor.": Paper tape is not durable enough to secure cords and can easily tear, increasing the risk of tripping or cord damage. Only heavy-duty tape or cable covers specifically designed for electrical safety should be used.

C. "Electrical items should be unplugged by grasping and pulling on the cord.": Pulling on the cord can damage wiring and increase the risk of electric shock or fire. Items should always be unplugged by gripping the plug itself to maintain cord integrity and safety.

D. "Electrical items should be disconnected before cleaning them.": Disconnecting electrical devices before cleaning prevents accidental activation and reduces the risk of electric shock. This is a fundamental principle of electrical safety in healthcare and demonstrates correct understanding of safe practices.

A. "I can have mustard on my sandwiches." B. "I can season foods with celery salt." C. "I can eat frozen juice bar for dessert." D. "I can drink vegetable juice with my meals."

Correct Answer is C

Explanation

A. "I can have mustard on my sandwiches.": Mustard is high in sodium and can contribute significantly to daily sodium intake, which is contraindicated for clients with cardiomyopathy who need to limit sodium to reduce fluid retention and cardiac workload.

B. "I can season foods with celery salt.": Celery salt contains sodium and is not an appropriate seasoning for clients on a low-sodium diet. Using it can exacerbate fluid retention, hypertension, and worsening heart failure symptoms.

C. "I can eat frozen juice bar for dessert.": Many frozen juice bars are low in sodium and suitable for a heart-healthy, low-sodium diet. Choosing these types of snacks helps the client manage fluid balance and cardiac workload effectively.

D. "I can drink vegetable juice with my meals.": Most commercial vegetable juices are very high in sodium, making them inappropriate for clients who need to restrict sodium intake. Consuming these can lead to fluid retention and increased cardiac strain.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has COPD. The client tells the nurse, "I get short of breath during meals. It is too much trouble to eat." Which of the following instructions should the nurse suggest?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with teaching an assistive personnel (AP) about electrical safety. Which of the following statements by the AP Indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is reinforcing discharge teaching about limiting sodium intake with a client who has a new diagnosis of cardiomyopathy. Which of the following client responses indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is preparing to instill an otic suspension into an adult client's ear. Which of the following methods should the nurse plan to use?

A nurse is preparing to insert a nasogastric tube for a client who has a prescription for gastric decompression. Which of the following supplies should the nurse obtain prior to the procedure?

A nurse is assisting in the care of an 8-month-old infant in the emergency department (ED). Select the 3 priority actions the nurse should take.

A nurse is assisting with the care of a newborn. For each potential nursing intervention, click to specify if the action appropriate, nonessential, or contraindicated for the newborn.

A nurse is preparing to administer medication to a child through an enteral tube. Which of the following actions should the nurse take after administering the medication?

A nurse in a prenatal clinic is reinforcing teaching with a client about a nonstress test. Which of the following statements should the nurse Include?

A nurse is reinforcing teaching about the purpose of quadruple screening for a client who is at 16 weeks of gestation. Which of the following statements should the nurse make?

A nurse is assisting with the plan of care for a client who is Rh+, at 16 weeks of gestation, and scheduled for an amniocentesis. Which of the following actions should the nurse plan to take following the procedure?