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 C
Explanation
A. The client should notify the provider of a weight gain of 2-3 lbs in a day or 5 lbs in a week, as this may indicate fluid retention and worsening heart failure.
B. Naproxen (NSAIDs) should be avoided as they can lead to sodium retention, fluid overload, and worsening heart failure.
C. Exercising at least three times per week is correct. Regular physical activity can help improve cardiovascular function and overall endurance, provided it is within safe limits.
D. Diuretics should be taken in the morning, but not before bedtime. Taking them late can lead to nocturia and sleep disturbances.
Correct Answer is C
Explanation
A. Increased mucus production blocking the alveoli is incorrect. While mucus production can be an issue in COPD, it is more characteristic of chronic bronchitis rather than emphysema.
B. Infections decreasing ventilation is incorrect. Although infections can worsen emphysema symptoms, they are not the primary cause of chronic hypoxia in these clients.
C. Lack of adequate surface area for aeration is correct. Emphysema leads to alveolar destruction and loss of elasticity, reducing the surface area available for gas exchange, which causes chronic hypoxia.
D. Inflammation of the bronchioles decreasing breathing capacity is incorrect. While airway inflammation is seen in conditions like asthma and chronic bronchitis, emphysema is primarily characterized by alveolar damage rather than airway inflammation.
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