What nursing intervention enhances the nutritional status of a patient with COPD?

Offer small frequent meals

Encourage extra liquids with meals

Assist the patient to exercise before meals

Supply information about nutrition

Answer and Explanation

The Correct Answer is A

A. Offer small frequent meals

Offering small, frequent meals is beneficial for patients with COPD because it helps overcome the challenges associated with dyspnea and fatigue. Large meals can cause discomfort and increase the effort required for breathing, which can exacerbate respiratory symptoms. By providing smaller, more manageable portions of food throughout the day, patients with COPD can maintain their energy levels and meet their nutritional needs without experiencing excessive respiratory distress.

B. Encourage extra liquids with meals

Encouraging extra liquids with meals can help prevent dehydration and thin respiratory secretions, making it easier for patients with COPD to manage their respiratory symptoms. However, excessive fluid intake can also lead to feelings of fullness and discomfort, especially in patients with compromised lung function. Therefore, while it's important to encourage adequate hydration, particularly during meals, it's also essential to balance fluid intake to avoid exacerbating respiratory symptoms.

C. Assist the patient to exercise before meals

While regular exercise is beneficial for overall health and can help improve respiratory function in patients with COPD, exercising immediately before meals may not be practical or advisable for all patients. Patients with COPD may experience fatigue and dyspnea during physical activity, which can affect their ability to eat and digest food effectively. Additionally, exercising before meals may increase energy expenditure and exacerbate respiratory symptoms, making it more challenging for patients to consume an adequate amount of nutrients. Instead, patients with COPD may benefit from engaging in light physical activity or respiratory exercises at a different time of day to improve their respiratory function and overall well-being.

D. Supply information about nutrition

Providing information about nutrition is essential for patients with COPD to help them make healthy dietary choices and manage their condition effectively. However, simply supplying information may not be sufficient to enhance the nutritional status of patients with COPD. It's important to offer practical guidance and support, such as meal planning tips, dietary modifications, and strategies for overcoming barriers to healthy eating. Additionally, individualized dietary counseling from a registered dietitian can be beneficial for patients with COPD to address specific nutritional needs and preferences.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Lower oxygen saturations of 93% to 94%

In an older adult client with a pneumothorax, the nurse could expect to observe lower oxygen saturations of 93% to 94%. A pneumothorax involves the accumulation of air in the pleural space, which can compress the lung and impair gas exchange, leading to hypoxemia (low blood oxygen levels). Decreased oxygen saturations would be a common finding in this condition.

B. Higher oxygen saturations of 98% to 99%

Higher oxygen saturations would be less likely in a client with a pneumothorax due to impaired gas exchange resulting from lung compression. Oxygen saturations are more likely to be lower in this condition, as indicated in option A.

C. Lower energy expenditure

While a pneumothorax may cause discomfort and dyspnea, which could potentially decrease energy expenditure due to reduced activity levels, it is not a direct physiological effect of the condition. Energy expenditure would depend on various factors, including the severity of symptoms and the individual's overall health status.

D. Increased lung capacity

A pneumothorax typically results in a decrease in lung capacity rather than an increase. The accumulation of air in the pleural space causes partial or complete collapse of the affected lung, reducing its ability to expand and decreasing overall lung capacity. Therefore, increased lung capacity would not be expected in a client with a pneumothorax.

A. Position the client on the nonoperative side. B. Monitor respiratory status every 8 hr. C. Elevate the head of the bed to a 15° angle. D. Encourage the client to splint the incision when coughing.

Correct Answer is D

Explanation

A. Position the client on the nonoperative side.

Positioning the client on the nonoperative side after a pneumonectomy may not be the best choice. The positioning of the client post-pneumonectomy should be based on factors such as the individual's comfort, respiratory status, and any specific instructions from the healthcare provider. Placing the client on the nonoperative side may inadvertently put pressure on the surgical site, leading to discomfort or potential complications.

B. Monitor respiratory status every 8 hr.

Monitoring respiratory status every 8 hours is not sufficient for a client post-pneumonectomy. After such a major surgical procedure, respiratory status should be closely monitored and assessed more frequently, especially in the immediate postoperative period. This frequency allows for the early detection of any signs of respiratory distress, such as decreased oxygen saturation, dyspnea, or abnormal breath sounds, as well as complications like pneumothorax or atelectasis.

C. Elevate the head of the bed to a 15° angle.

Elevating the head of the bed to a 15° angle is a general recommendation for clients postoperative to promote respiratory function and reduce the risk of aspiration. However, after a pneumonectomy, the positioning of the client may vary based on their individual condition and surgical approach. It's important to follow the healthcare provider's specific instructions regarding positioning for optimal recovery. The angle of elevation may need to be adjusted based on the client's comfort and respiratory status.

D. Encourage the client to splint the incision when coughing.

After a pneumonectomy, it's crucial to encourage the client to splint the incision when coughing. Splinting the incision with a pillow or hands helps to reduce pain and prevent strain on the surgical site, promoting healing and minimizing the risk of complications such as wound dehiscence (opening of the surgical incision).

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

What nursing intervention enhances the nutritional status of a patient with COPD?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following could the nurse expect to observe in an older adult client who has a pneumothorax?

Correct Answer is A

Explanation

A nurse is assisting with the care of a client who is postoperative following a pneumonectomy. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who has been admitted with asthma exacerbation and is experiencing increased wheezing and has an oxygen saturation of 91%. The client is scheduled for his next breathing treatment in 1hr. Which of the following actions should the nurse take?

A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?

A nurse is assisting with the care of a client who has multiple injuries following a motor vehicle crash. The nurse should monitor for which of the following manifestations of a pneumothorax?

A nurse is caring for a client who has an acute respiratory illness. For which of the following manifestations of an airway obstruction should the nurse monitor? (Select all that apply.)

A nurse is collecting data on a client who has oxygen toxicity. Which of the following findings should the nurse expect?

Which patient(s) would be able to take an alpha-adrenergic decongestant safely? (SELECT ALL THAT APPLY)

A nurse is collecting data on a client who has obstructive sleep apnea. Which of the following findings should the nurse expect?

A nurse is checking the suction control chamber of a client's chest tube and notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take?