A resident of a long-term care facility has lived with chronic obstructive pulmonary disease (COPD) for many years but has experienced a gradual increase in dyspnea despite the use of long-term oxygen therapy.
In recent weeks, dyspnea has interfered with the resident's ability to eat, and the nurse recognizes the potential nursing diagnosis of altered nutrition: less than body requirements. How can the nurse best foster this resident's nutritional status?
A) Arrange for a high-protein diet to promote gas exchange.
B) Provide meals early in the morning and late at night.
C) Liaise with the resident's health care provider to organize total parenteral nutrition (TPN).
D) Order small, frequent meals and nutritional supplements for the resident.
Question 2
Which of the following nursing practices commonly performed in the geriatric medical unit of a hospital is most in need of modification or correction?
A) Patients are regularly prompted to practice deep-breathing and coughing exercises in order to mobilize secretions and prevent atelectasis.
B) Patients at risk for urinary incontinence are catheterized in order to reduce the risk of urinary tract infections.
C) Reality orientation is provided to patients who exhibit cognitive deficits.
D) The discharge planning process is begun immediately following admission.
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