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.
Eliminate dairy products.
Consume three regular meals daily.
Eat lighter, low-calorie foods first.
The Correct Answer is A
The correct answer is choice a. Limit fluid intake during meals.
Choice A rationale:
Limiting fluid intake during meals can help prevent the stomach from becoming too full, which can make breathing more difficult for someone with COPD.
Choice B rationale:
Eliminating dairy products is not typically recommended for COPD patients unless they have a specific intolerance or allergy. Dairy does not generally affect COPD symptoms.
Choice C rationale:
Consuming three regular meals daily might be challenging for COPD patients who often have reduced appetite and may benefit more from smaller, frequent meals.
Choice D rationale:
Eating lighter, low-calorie foods first is not advisable for COPD patients who need nutrient-dense foods to maintain their energy levels and overall health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The client takes ibuprofen for headaches. NSAIDs such as ibuprofen can cause gastrointestinal bleeding, which can result in a false positive result on a fecal occult blood test.
Option A is incorrect because breast cancer is not associated with false-positive fecal occult blood results.
Option C is incorrect because citrus juice does not affect the fecal occult blood test.
Option D is incorrect because a hemorrhoidectomy is not associated with false-positive fecal occult blood results.
Reasons why the other options are not answered:
Option A: Breast cancer is not associated with false-positive fecal occult blood results.
Option C: Citrus juice does not affect the fecal occult blood test.
Option D: A hemorrhoidectomy is not associated with false-positive fecal occult blood results.
Correct Answer is A
Explanation
Ringing in ears. Furosemide is a loop diuretic, which can cause ototoxicity as an adverse effect, resulting in ringing in the ears, hearing loss, or vertigo. The nurse should instruct the client to monitor for these adverse effects and report them immediately if they occur.
An explanation for incorrect choices:
B. Metallic taste is a common adverse effect of metronidazole or clarithromycin, but not furosemide.
C. Rhinitis is associated with intranasal or occasionally oral corticosteroid use.
D. Agitation is a side effect for stimulants, sedatives, or antidepressants.
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