What nursing intervention enhances the nutritional status of a patient with COPD?

A. Offer small frequent meals: Clients with COPD often experience early satiety and fatigue while eating due to increased work of breathing. Small, frequent meals reduce the energy required for eating and help maintain adequate caloric intake, enhancing nutritional status. B. Encourage extra liquids with meals: Drinking large amounts of fluid during meals can cause early fullness and interfere with eating. Fluids should be encouraged between meals rather than with meals to prevent limiting food intake. C. Supply information about nutrition: Providing education is important for long-term dietary management, but it does not directly enhance immediate nutritional intake. Practical interventions like meal planning are more impactful for improving nutrition. D. Assist the patient to exercise before meals: Exercise before meals can increase energy expenditure and potentially reduce appetite in clients with COPD. Nutritional interventions should focus on conserving energy and maximizing intake rather than increasing fatigue.