An older client with an acute exacerbation of chronic obstructive pulmonary disease (COPD) has a low oxygen saturation level and becomes short of breath when eating. Why should the nurse recommend that this client be on a high-fat high-protein diet?
a. The risk of heart disease is low because of the client's age
b. Allows a weight gain and develop muscle to aid with recovery
c. Provides more calories per bite to permit less food intake but with more calories
d. Foods high in protein and fats are easier to digest and less likely to cause indigestion
c. Provides more calories per bite to permit less food intake but with more calories
Frail clients with COPD should be encouraged to eat a diet that is high in calories to avoid fatigue and excessive energy use during meals. In this case, a choice of high-protein and high-fat foods are appropriate to provide the client with more calories per bite, and will allow more food to be consumed with less shortness of breath. Although it is true that weight gain may help to speed recovery and heart disease is not a worry, the immediate concern is to provide the nutrients that are needed while minimizing the energy needed to eat. Foods containing high amounts of protein and fat take longer to digest.
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A patient begins medication therapy for hypertension. Which reason is most likely to make the scheduled teaching plan change for this patient?
a. The patient's outlook for her condition changes. b. The patient writes down some of the information. c. The patient has no questions after being taught. d. The patient's systolic blood pressure falls below 60 mm Hg with therapy.
Employees who are dependent on drugs or alcohol will exhibit signs that should not be ignored by the nurse manager and colleagues. Which of the following signs would alert the nurse manag-er that the employee may have a dependency problem?
a. Changes in behavior or appearance b. Requesting time off to be with a family member c. Scheduled overtime d. Dieting
The nurse understands that which stage of the life span has very specialized nutritional needs?
1. Older adulthood 2. Adolescence 3. Infancy 4. Toddlerhood
The nurse suspects that a patient has been physically abused, but the woman refuses to report the abuse to the police. Which statement by the patient suggests to the nurse that the relationship might be in the "honeymoon stage"?
1. "My boyfriend says he will never hurt me again.". 2. "My boyfriend only drinks alcohol on the weekends.". 3. "My boyfriend yells less than he used to.". 4. "My boyfriend has frequent bouts of insomnia.".