A nurse is reinforcing teaching for a client who was admitted with an exacerbation of COPD. Which of the following should the nurse include in the client teaching?

"You should consume small, frequent meals each day."

"You should decrease your caloric intake by 200 calories per day."

"You should increase your oxygen to 5 liters per minute if you have shortness of breath."

"You should discontinue your prednisone when your symptoms improve."

Answer and Explanation

The Correct Answer is A

Choice A Reason;
"You should consume small, frequent meals each day." This statement is advisable for COPD management. Eating smaller, more frequent meals can help prevent bloating or feeling overly full, which might interfere with breathing due to increased pressure on the diaphragm.
Choice B Reason:
"You should decrease your caloric intake by 200 calories per day." While maintaining a healthy weight is important for COPD management, reducing caloric intake without specific guidance or assessment might not be suitable. It's crucial to consult with a healthcare provider or dietitian for individualized dietary recommendations.
Choice C Reason:
"You should increase your oxygen to 5 liters per minute if you have shortness of breath." Adjusting oxygen flow should be done based on a healthcare provider's prescribed guidelines. Self-adjustment of oxygen flow without medical advice can be risky and might not address the underlying cause of shortness of breath during a COPD exacerbation.
Choice D Reason:
"You should discontinue your prednisone when your symptoms improve." Prednisone or other corticosteroids are often prescribed during a COPD exacerbation to reduce inflammation in the airways. However, discontinuing corticosteroids abruptly without a healthcare provider's guidance can lead to a recurrence of symptoms or potential complications. It's important to follow the prescribed regimen and complete the course as directed.

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Correct Answer is ["10"]

Explanation

Given:

Diphenhydramine syrup: 12.5 mg/5 MLX

Required dose: 25 mg

First, determine the ratio of the available dosage strength to the required dose:

12.5 mg (available dose) / 5 mL (volume) = 25 mg (required dose) / X mL

Cross-multiply to find X (the amount of syrup needed):

12.5 mg X mL = 25 mg 5 mL

Now, solve for X:

X = (25 mg 5 mL) / 12.5 mg

X = 125 / 12.5

X = 10

Therefore, the nurse should administer 10 mL of diphenhydramine syrup to provide a dose of 25 mg to the older adult client with rhinitis.

A. Encourage three large meals daily. B. Administer an antiemetic after each meal. C. Season foods with spices. D. Provide a high-calorie diet.

Correct Answer is D

Explanation

Choice A Reason:
Encouraging three large meals daily might not be feasible for someone experiencing malnutrition and decreased appetite. Smaller, more frequent meals or snacks throughout the day could be better tolerated and more beneficial.
Choice B Reason:
Administering an antiemetic after each meal assumes that the client will experience nausea or vomiting regularly after eating. This might not be the case for all clients with AIDS and may not be necessary if the primary issue is malnutrition without associated frequent vomiting.
Choice C Reason:
Seasoning foods with spices might improve the taste of food and potentially stimulate appetite, but it's not as direct or comprehensive a measure for addressing malnutrition as providing a high-calorie diet.
Choice D Reason:
Provide a high-calorie diet is correct. Clients with AIDS often experience malnutrition due to various factors such as decreased appetite, difficulty eating, or malabsorption. Offering a high-calorie diet can help address nutritional deficiencies and support the body's increased energy needs.

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A nurse is reinforcing teaching for a client who was admitted with an exacerbation of COPD. Which of the following should the nurse include in the client teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["10"]

Explanation

A nurse is contributing to the plan of care for a client who has AIDS and has malnutrition. Which of the following actions should the nurse include in the plan of care?

Correct Answer is D

Explanation

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