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?

A. "Drink a glass of milk with each meat": High-fat dairy can increase mucus production and may worsen respiratory symptoms in some clients with COPD. This recommendation is not appropriate for routine dietary planning in these clients. B. "Consume three large meals throughout the day.": Eating large meals can cause early satiety and increase the work of breathing, making it harder for clients with COPD to eat enough calories. Smaller, more frequent meals are preferable to maintain energy without compromising respiratory effort. C. "Increase your intake of vegetables such as broccoli and brussels sprouts.": While vegetables are healthy, some cruciferous vegetables can cause bloating and gas, which may increase dyspnea in COPD clients. Nutrition plans should focus on foods that optimize energy intake without causing discomfort or respiratory strain. D. "Plan to include high-protein foods in each of your meals.": High-protein foods help maintain muscle mass and support respiratory muscle function, which is particularly important for clients with COPD. Including protein in each meal ensures adequate nutrition to meet increased metabolic demands from chronic respiratory effort.