A nurse is reinforcing nutritional teaching with a client who has COPD. Which of the following instructions by the nurse is appropriate?

Drink carbonated beverages.

Decrease fiber intake.

Use bronchodilators after meals.

Increase protein intake.

Answer and Explanation

The Correct Answer is D

A. Drink carbonated beverages.

Carbonated beverages may cause bloating and gas, which can be uncomfortable for individuals with COPD. It's generally advisable to choose non-carbonated and non-caffeinated beverages.

B. Decrease fiber intake.

Decreasing fiber intake is not a recommended approach for individuals with COPD. Fiber is important for digestive health and overall well-being. A balanced diet, including adequate fiber, is generally encouraged.

C. Use bronchodilators after meals.

The timing of bronchodilator use is typically based on a schedule or as needed for symptom control, rather than being specifically linked to mealtime. It's important to follow the healthcare provider's instructions regarding the use of bronchodilators.

D. Increase protein intake.

Increasing protein intake is an appropriate nutritional recommendation for individuals with COPD. Protein is important for maintaining respiratory muscle strength and overall health.

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Correct Answer is A

Explanation

A. “Use sugar-free gum if you experience a metallic taste in your mouth.”

This is the appropriate choice. Chemotherapy can cause a metallic taste in the mouth, and using sugar-free gum or candies can help alleviate this taste disturbance.

B. “Drink fluids at mealtime to prevent early satiety.”

This statement is not advisable. Drinking fluids at mealtime may lead to early satiety, making it challenging for the client to consume adequate nutrition. It is generally recommended to drink fluids between meals.

C. “Foods that are higher in fat can help nausea.”

This statement is not accurate. High-fat foods may exacerbate nausea for some individuals undergoing chemotherapy. The focus during periods of nausea is often on easily digestible, low-fat, and bland foods.

D. “Raw fruits and vegetables will be easier for your body to digest.”

This statement is not accurate. Raw fruits and vegetables may be harder to digest, and during chemotherapy, the digestive system can be sensitive. It is generally recommended to choose cooked or processed fruits and vegetables for easier digestion.

A. Yogurt B. Oranges C. Turnips D. Roast beef

Correct Answer is D

Explanation

A. Yogurt:

Yogurt is not a significant source of iron. While yogurt provides various nutritional benefits, it is not considered an iron-rich food.

B. Oranges:

Oranges are a good source of vitamin C, which enhances the absorption of non-heme iron from plant-based foods. However, oranges themselves do not contain substantial amounts of iron. The combination of vitamin C-rich foods with iron-rich foods can be beneficial for iron absorption.

C. Turnips:

Turnips are a vegetable that, while nutritious, is not particularly high in iron. Additionally, the iron in plant-based foods like turnips is non-heme iron, which is less easily absorbed by the body compared to heme iron found in animal products.

D. Roast beef:

Roast beef is a good source of heme iron, which is more easily absorbed by the body. Red meat, such as roast beef, is a valuable dietary source of iron, especially for individuals with iron deficiency.

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A nurse is reinforcing nutritional teaching with a client who has COPD. Which of the following instructions by the nurse is appropriate?

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