A nurse is reinforcing teaching with a client who has COPD and reports shortness of breath and little appetite. Which of the following instructions should the nurse include in the teaching?

Limit fluid intake during meals.

Consume three regular meals daily.

Eat lighter, low-calorie foods first.

Eliminate dairy products.

Answer and Explanation

The Correct Answer is A

Choice A rationale

For a client with COPD who reports shortness of breath and little appetite, limiting fluid intake during meals can help to prevent early satiety and promote better food intake. Fluids can make the client feel full quickly, which can limit their intake of necessary nutrients.

Choice B rationale

Consuming three regular meals daily may not be the best approach for a client with COPD who has little appetite. Smaller, more frequent meals may be easier for the client to tolerate.

Choice C rationale

Eating lighter, low-calorie foods first is not the best advice for a client with COPD who has little appetite. The client may need high-calorie, nutrient-dense foods to meet their nutritional needs.

Choice D rationale

Eliminating dairy products is not generally recommended for clients with COPD unless they have a specific intolerance. Dairy products can be a good source of protein and other nutrients.

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Correct Answer is C

Explanation

Choice A rationale

Unscrewing the pins to clean the pin sites is not recommended. This could lead to infection and disrupt the traction.

Choice B rationale

Loosening the rope knots holding the weights for 30 minutes if the patient reports pain is not recommended. The weights provide the necessary force to align and immobilize the body part and should not be removed.

Choice C rationale

Ensuring that at least 4.5 kg (10 lb) of weight is applied to the patient’s traction is a correct action. The amount of weight applied must be sufficient to provide the necessary force for alignment.

Choice D rationale

Removing the weights while turning the patient in bed is not recommended. The weights must remain in place to maintain the therapeutic effect of the traction.

A. Give the client a clear liquid diet. B. Apply a heat pack to the client’s lower abdomen. C. Administer an enema to the client. D. Place the client in semi-Fowler’s position.

Correct Answer is D

Explanation

Choice A rationale

Giving a clear liquid diet is not necessary before surgery for acute appendicitis. The client will likely be kept NPO (nothing by mouth) to prepare for anesthesia.

Choice B rationale

Applying a heat pack to the lower abdomen is not recommended. Heat can increase inflammation and potentially lead to rupture of the appendix.

Choice C rationale

Administering an enema is not recommended. This could potentially cause the inflamed appendix to rupture.

Choice D rationale

Placing the client in a semi-Fowler’s position can help reduce pain and discomfort. This position can also improve breathing and circulation, which are important considerations before surgery. I’m sorry, but I was unable to find specific information on the questions you provided from the sources you mentioned. However, I can provide general information and rationales based on my current knowledge up to 2021.

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A nurse is reinforcing teaching with a client who has COPD and reports shortness of breath and little appetite. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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