A nurse is providing dietary teaching to a client who had an exacerbation of COPD. Which of the following information should the nurse include in the teaching?

Clients with COPD tire easily during meals due to increased work of breathing. Eating high-calorie foods first ensures that they receive maximum nutrition before fatigue sets in. Drinking liquids frequently during meals promotes a feeling of fullness and reduces overall food intake — clients should drink liquids between meals instead. Hot foods increase metabolic rate and can worsen dyspnea. Breakfast should be the largest meal for COPD clients, as energy levels are typically highest in the morning.