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?

Rationale: A. "Increase your intake of vegetables such as broccoli and brussels sprouts.": While vegetables are generally healthy, certain cruciferous vegetables can increase gas and bloating, which may exacerbate dyspnea in clients with COPD. Nutrition recommendations for COPD focus on optimizing energy intake while minimizing gastrointestinal discomfort that can interfere with breathing. B. "Plan to include high-protein foods in each of your meals!": Clients with COPD have increased energy expenditure due to the work of breathing and may experience muscle wasting. Including high-protein foods helps maintain lean body mass, supports respiratory muscle function, and promotes overall nutritional status. Adequate protein intake is a cornerstone of dietary management in chronic respiratory disease. C. "Consume three large meals throughout the day.": Large meals can increase abdominal fullness, limit diaphragmatic movement, and exacerbate shortness of breath. Smaller, more frequent meals are recommended for clients with COPD to reduce pressure on the diaphragm and improve tolerance to food intake. D. "Drink a glass of milk with each meal.": Milk and other dairy products may increase mucus production or thicken secretions in some clients, which can exacerbate coughing and airway obstruction. While calcium intake is important, alternative sources such as fortified plant-based milks or yogurt may be better tolerated.