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    Ati Rn Adult Medical Surgical 2023 Proctored Exam

    A nurse is discussing nutrition options with a client who has a new diagnosis of COPD. Which of the following statements should the nurse make?

    Explanation & Rationale

    A. "Increase your intake of vegetables such as broccoli and brussels sprouts." is incorrect because while vegetables are healthy, cruciferous vegetables like broccoli and Brussels sprouts can cause bloating and gas, which may exacerbate dyspnea in clients with COPD. Lighter, easier-to-digest vegetables are preferable. B. "Drink a glass of milk with each meal." is incorrect because milk and other dairy products can increase mucus production in some clients with COPD, potentially worsening breathing difficulties. C. "Plan to include high-protein foods in each of your meals." is correct. Clients with COPD have increased energy expenditure due to the work of breathing and are at risk for muscle wasting and malnutrition. High-protein foods help maintain muscle mass, support respiratory muscle strength, and improve overall nutritional status. D. "Consume three large meals throughout the day." is incorrect because large meals can cause abdominal fullness, making breathing more difficult. Clients with COPD benefit from small, frequent meals to reduce diaphragmatic pressure and improve tolerance of food intake.

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