A patient with chronic obstructive pulmonary disease (COPD) on daily prednisone therapy has been eating very little and has lost weight. Which interventions are appropriate for the nurse to include in the care plan? Select all that apply.

Offer high-calorie protein snacks between meals and at bedtime.

Encourage increased intake of whole grains and vegetables.

Encourage rest before meals.

Provide a large glass of juice with each meal.

Answer and Explanation

Correct Answer : A,C

Choice A reason: Offering high-calorie protein snacks between meals and at bedtime is appropriate for a patient with COPD who is losing weight and eating very little. These snacks can help meet their nutritional needs and provide the extra calories and protein necessary to prevent muscle wasting and support overall health.

Choice B reason: While increasing the intake of whole grains and vegetables is generally healthy, it may not be the priority for a patient who has lost significant weight and needs to focus on higher-calorie, nutrient-dense foods. The primary goal is to address the calorie and protein deficit first.

Choice C reason: Encouraging rest before meals is beneficial as it helps conserve energy for eating. Patients with COPD often experience fatigue, which can reduce their appetite and ability to eat. Resting before meals can help them feel more energetic and better able to consume their meals.

Choice D reason: Providing a large glass of juice with each meal is not ideal for increasing calorie and protein intake. While juice can provide some calories and nutrients, it is not a good source of protein. Additionally, large volumes of liquid can create a feeling of fullness, reducing the patient's appetite for nutrient-dense foods.

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Correct Answer is ["C","D"]

Explanation

Choice A reason: Upper endoscopy is not typically used to diagnose cholecystitis. It is more commonly used to examine the upper gastrointestinal tract, such as the esophagus, stomach, and duodenum.

Choice B reason: Stool samples are not relevant for diagnosing cholecystitis. They are more commonly used to detect gastrointestinal infections or bleeding.

Choice C reason: Endoscopic retrograde cholangiopancreatography (ERCP) is a valuable diagnostic tool for cholecystitis, especially when there is suspicion of bile duct obstruction or gallstones.

Choice D reason: Abdominal ultrasound is the most common and preferred imaging test for diagnosing cholecystitis. It can visualize the gallbladder and detect gallstones, inflammation, or other abnormalities.

A. Place the patient in restraints for safety B. Insert an NGT C. Anticipate thrombolytic therapy for ischemic stroke D. Establish IV access with normal saline E. Place the patient in the prone position

Correct Answer is ["C","D"]

Explanation

Choice A reason: Placing the patient in restraints for safety is not typically necessary unless the patient is agitated or a danger to themselves or others. This action is not directly addressing the acute condition of a stroke.

Choice B reason: Inserting an NGT (nasogastric tube) is not an immediate priority in the acute management of a stroke. This might be considered later if the patient has swallowing difficulties and needs nutritional support, but it is not a first-line intervention.

Choice C reason: Anticipating thrombolytic therapy for ischemic stroke is appropriate, as timely administration of thrombolytics can dissolve the clot and improve blood flow to the affected brain area, potentially reducing the severity of the stroke.

Choice D reason: Establishing IV access with normal saline is crucial for administering medications and maintaining hydration. It ensures that the patient can receive necessary interventions promptly.

Choice E reason: Placing the patient in the prone position is not appropriate in the management of an acute stroke. The prone position is generally used in respiratory conditions to improve oxygenation but is not relevant to stroke management.

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A patient with chronic obstructive pulmonary disease (COPD) on daily prednisone therapy has been eating very little and has lost weight. Which interventions are appropriate for the nurse to include in the care plan? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Indicate which two tests might be prescribed for patients admitted with symptoms of cholecystitis? Select all that apply.

Correct Answer is ["C","D"]

Explanation

Correct Answer is ["C","D"]

Explanation

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