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 A
Explanation
A. Client reports popping sensation at the wound: A popping or tearing sensation at the surgical site can indicate wound dehiscence or evisceration, which is a surgical emergency. Immediate reporting to the provider is essential for prompt intervention to prevent further complications.
B. Client is tender to touch at the surgical site: Mild tenderness is expected 24 hours postoperatively due to inflammation and tissue trauma. While it should be monitored, it is not an urgent finding requiring immediate provider notification.
C. Crusting on the client's incision line: Light crusting is a normal part of the healing process and does not typically indicate a complication. Routine wound care and monitoring are sufficient.
D. Serosanguineous drainage on the client's dressing: Serosanguineous drainage is expected within the first 24–48 hours after surgery. It is a normal finding and usually does not require urgent reporting unless it increases significantly or changes character.
Correct Answer is D
Explanation
A. “I will overarticulate words when speaking.": Overarticulating words can distort speech and make it more difficult for a client with hearing loss to understand. Clear, normal articulation combined with visual cues is more effective for communication.
B. “I will repeat words not heard by the client": Repeating words is useful, but it is a secondary strategy. Effective communication begins with proper positioning and visual cues, which enhance understanding before repetition is needed.
C. “I will speak in a loud voice when addressing the client.": Speaking louder does not necessarily improve comprehension and can distort speech. Many clients with hearing loss benefit more from clear, normal-volume speech and lip-reading rather than increased volume.
D. “I will face the client when speaking": Facing the client allows them to use visual cues, such as lip reading and facial expressions, which significantly improves understanding. This technique is the primary and most effective communication strategy for clients with hearing loss.
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