Author Question: Which instruction should the nurse include in an exercise teaching plan for a patient with chronic ... (Read 89 times)

saliriagwu · **on:** Jun 25, 2018

Which instruction should the nurse include in an exercise teaching plan for a patient with chronic obstructive pulmonary disease (COPD)?

a. Stop exercising if you start to feel short of breath.
b. Use the bronchodilator before you start to exercise.
c. Breathe in and out through the mouth while you exercise.
d. Upper body exercise should be avoided to prevent dyspnea.

Question 2

The nurse provides dietary teaching for a patient with chronic obstructive pulmonary disease (COPD) who has a low body mass index (BMI). Which patient statement indicates that the teaching has been effective?

a. I will drink lots of fluids with my meals.
b. I can have ice cream as a snack every day.
c. I will exercise for 15 minutes before meals.
d. I will decrease my intake of meat and poultry.

Koolkid240 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Use of a bronchodilator before exercise improves airflow for some patients and is recommended. Shortness of breath is normal with exercise and not a reason to stop. Patients should be taught to breathe in through the nose and out through the mouth (using a pursed lip technique). Upper-body exercise can improve the mechanics of breathing in patients with COPD.

Answer to Question 2

ANS: B
High-calorie foods like ice cream are an appropriate snack for patients with COPD. Fluid intake of 3 L/day is recommended, but fluids should be taken between meals rather than with meals to improve oral intake of solid foods. The patient should avoid exercise for an hour before meals to prevent fatigue while eating. Meat and dairy products are high in protein and are good choices for the patient with COPD.