A nurse is providing dietary teaching to a client who had an exacerbation of COPD. Which of the following information should the nurse include in the teaching?
"You should eat hot foods to reduce your sense of fullness during a meal.
"While eating you should drink liquids frequently."
"During meals, you should eat foods with a high-calorie content first."
"Lunch should be your largest meal of the day."
The Correct Answer is C
A. "You should eat hot foods to reduce your sense of fullness during a meal.": Hot foods can actually increase the feeling of fullness and may lead to early satiety, which is not ideal for clients with COPD who need to maintain adequate nutrition and energy intake.
B. "While eating you should drink liquids frequently.": Drinking large amounts of liquids during meals can cause early satiety and reduce overall caloric intake. Clients with COPD are encouraged to drink fluids between meals rather than during meals to avoid feeling too full.
C. "During meals, you should eat foods with a high-calorie content first.": Prioritizing high-calorie, nutrient-dense foods ensures the client consumes adequate energy before fatigue or fullness sets in. This strategy helps prevent unintentional weight loss and supports overall respiratory function in COPD.
D. "Lunch should be your largest meal of the day.": For clients with COPD, smaller, more frequent meals are recommended to prevent dyspnea and fatigue during eating. Large meals can exacerbate breathing difficulties, so meal size should be balanced throughout the day.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The client's high-density lipoprotein level has increased: While metformin can have minor effects on lipid metabolism, an increase in HDL is not the primary therapeutic goal or a direct measure of the medication’s effectiveness in managing type 2 diabetes.
B. The client's frequency of incontinence has decreased: Urinary incontinence is not a direct indicator of metformin effectiveness. Changes in incontinence may result from other conditions or medications and do not reflect glycemic control.
C. The client's HbA1c has decreased: A decrease in HbA1c indicates improved long-term blood glucose control, which is the primary goal of metformin therapy. Monitoring HbA1c over 2–3 months helps determine how effectively the medication is managing type 2 diabetes.
D. The client's iron level has increased: Iron levels are not affected by metformin and do not serve as a measure of its efficacy. Changes in iron would be related to dietary intake, absorption issues, or other medical conditions rather than glucose management.
Correct Answer is ["1"]
Explanation
Calculation:
- Identify the ordered dose and available concentration
Ordered Dose: 50 mcg
Available Concentration: 100 mcg/2 mL
- Calculate the volume to administer
Volume to administer = (Ordered Dose ÷ Concentration) × Volume of Concentration
Volume to administer = (50 ÷ 100) × 2
Volume to administer = 0.5 × 2
Volume to administer = 1 mL
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