A nurse is reinforcing teaching for a client who has COPD. Which of the following statements by the client indicates a need for further teaching?
I will rest for at least 30 minutes before eating.
I will drink plenty of beverages with my meals.
I will eat five or six small meals each day?
I will increase my intake of protein.
The Correct Answer is B
A. "I will rest for at least 30 minutes before eating."
This statement is appropriate. Resting before meals can help conserve energy and reduce dyspnea (shortness of breath) during eating for individuals with COPD.
B. "I will drink plenty of beverages with my meals."
This statement indicates a need for further teaching. Excessive fluid intake during meals can contribute to feelings of fullness and increase the risk of bloating, making it more difficult for the client with COPD to breathe comfortably.
C. "I will eat five or six small meals each day."
This statement is appropriate. Eating smaller, more frequent meals can help prevent overdistension of the stomach and reduce the feeling of fullness, making it easier for the client to breathe.
D. "I will increase my intake of protein."
This statement is appropriate. Adequate protein intake is important for individuals with COPD to support respiratory muscle function and overall nutritional status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Apply a cool, wet compress to the affected area.
This action can help soothe the affected skin and reduce inflammation associated with eczema. It is important to avoid hot water, as it can further dry out the skin.
B. Launder clothing with fabric softener.
Fabric softeners can contain chemicals that may irritate sensitive skin. It is advisable to use mild, fragrance-free detergents and skip fabric softeners.
C. Give bubble baths every day.
Bubble baths can be drying to the skin, and frequent bathing may exacerbate eczema. It is recommended to keep baths short, use lukewarm water, and avoid harsh soaps.
D. Use wool gloves in the wintertime.
Wool can be irritating to sensitive skin, and for individuals with eczema, it's better to use soft, breathable fabrics for gloves to minimize irritation.
Correct Answer is D
Explanation
A. Clean the perineum from front to back.
After arranging the sterile items, the next step involves preparing the client for catheter insertion, which includes cleaning the perineum from front to back using appropriate techniques to minimize the risk of infection.
B. Lubricate the catheter.
Following the preparation of the client, the next step involves lubricating the catheter before insertion. Lubrication facilitates the smooth and atraumatic insertion of the catheter.
C. Explain to the client that she will feel temporary discomfort.
Providing information and preparing the client for the procedure is an important aspect, but it typically follows the physical preparation steps. Explaining to the client about potential discomfort should be done before the procedure but after the necessary physical preparations are complete.
D. Arrange the sterile items on the sterile field.
This is the first action to be taken. It involves preparing all the necessary sterile items on a sterile field, ensuring that everything needed for the catheter insertion procedure is organized and ready to maintain aseptic technique.
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