The nurse is providing care to a client diagnosed with chronic obstructive pulmonary disease (COPD). A nursing diagnosis for this client is Imbalanced Nutrition: Less than Body Requirements. Which interventions are appropriate for this nursing diagnosis?
Select all that apply.
A) Encourage a diet high in protein and fats.
B) Keep snacks to a minimum.
C) Provide frequent small meals with between meal supplements.
D) Encourage carbohydrate-rich foods to provide needed calories for energy.
E) Suggest the client eat 3 meals per day to maintain energy needs.
Answer: A, C
A diet high in protein and fats without excess carbohydrates is recommended to minimize carbon dioxide production during metabolism. Frequent small meals help maintain intake and reduce fatigue associated with eating. Carbohydrate-rich foods would increase the client's carbon dioxide production and worsen the symptoms of the disease. The client should be encouraged to eat frequent small meals, not 3 meals a day. The client should be encouraged to eat frequent snacks, not limit snacks.
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