The nurse is planning the care for a client with chronic obstructive pulmonary disease (COPD) experiencing Imbalanced Nutrition: Less than Body Requirements. Which of the following interventions would be appropriate for this client?
1. Encourage carbohydrate rich foods to provide needed calories for energy
2. Suggest the client eat 3 meals per day to maintain energy needs
3. Limit snacks
4. Encourage a diet high in protein and fats
4. Encourage a diet high in protein and fats
Rationale:
A diet high in protein and fats without excess carbohydrates is recommended to minimize carbon dioxide production during metabolism. 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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