Why are small, frequent meals recommended for patients with Chronic Obstructive Pulmonary Disease (COPD)?
To increase caloric intake by snacking throughout the day
To allow for more social interaction during meals
To ensure all food groups are consumed daily
To reduce the risk of dyspnea during meals
The Correct Answer is D
A. While increasing caloric intake is important, the primary reason for small, frequent meals is to prevent dyspnea.
B. Social interaction is beneficial, but it is not the main reason for recommending small, frequent meals.
C. Ensuring a balanced diet is important, but not the specific reason for this recommendation.
D. Eating large meals can cause abdominal distention and pressure on the diaphragm, leading to dyspnea. Small, frequent meals help prevent this.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Atherosclerosis is correct. It is the primary cause of myocardial infarction (MI) due to the narrowing and eventual blockage of coronary arteries by plaque buildup, leading to reduced oxygen supply to the heart muscle.
B. Obesity is a risk factor for MI but is not the direct cause. It contributes to conditions like hypertension, diabetes, and atherosclerosis, which increase MI risk.
C. Hypertension increases the risk of MI by damaging blood vessels over time, but it is not the most common direct cause.
D. Diabetes Mellitus type 2 is a risk factor because it contributes to vascular damage and atherosclerosis, but it is not the primary cause of an MI.
Correct Answer is C
Explanation
A. Drawing a basic metabolic panel (BMP) is important for monitoring electrolyte imbalances, especially potassium in clients on diuretics, but it is not the priority intervention.
B. Obtaining a health history is necessary, but assessing the client’s current status takes priority in an acute setting.
C. Auscultating the lung and heart sounds is correct. In heart failure, pulmonary congestion and fluid overload can quickly lead to respiratory distress. The nurse should immediately assess for crackles, wheezing, or signs of pulmonary edema, as well as abnormal heart sounds that may indicate worsening heart failure.
D. Assessing pulse and temperature is routine, but assessing lung and heart sounds directly evaluates for acute decompensation and should be prioritized.
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