Author Question: A patient with chronic obstructive pulmonary disease (COPD) has a nursing diagnosis of imbalanced ... (Read 29 times)

vinney12 · **on:** Jun 25, 2018

A patient with chronic obstructive pulmonary disease (COPD) has a nursing diagnosis of imbalanced nutrition: less than body requirements. Which intervention would be most appropriate for the nurse to include in the plan of care?

a. Encourage increased intake of whole grains.
b. Increase the patient's intake of fruits and fruit juices.
c. Offer high-calorie snacks between meals and at bedtime.
d. Assist the patient in choosing foods with high vegetable and mineral content.

Question 2

A patient with chronic obstructive pulmonary disease (COPD) has a nursing diagnosis of impaired breathing pattern related to anxiety. Which nursing action is most appropriate to include in the plan of care?

a. Titrate oxygen to keep saturation at least 90.
b. Discuss a high-protein, high-calorie diet with the patient.
c. Suggest the use of over-the-counter sedative medications.
d. Teach the patient how to effectively use pursed lip breathing.

snackralk · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Eating small amounts more frequently (as occurs with snacking) will increase caloric intake by decreasing the fatigue and feelings of fullness associated with large meals. Patients with COPD should rest before meals. Foods that have a lot of texture like whole grains may take more energy to eat and get absorbed and lead to decreased intake. Although fruits, juices, and vegetables are not contraindicated, foods high in protein are a better choice.

Answer to Question 2

ANS: D
Pursed lip breathing techniques assist in prolonging the expiratory phase of respiration and decrease air trapping. There is no indication that the patient requires oxygen therapy or an improved diet. Sedative medications should be avoided because they decrease respiratory drive.