13.8: Review Questions
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Which disease-related alteration can potentially place an older client with chronic obstructive pulmonary disease (COPD) at risk for altered nutrition?
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Altered taste
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Decreased energy requirements
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Fatigue
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Altered smell
On initial laboratory tests, an adult client’s albumin level is below 3.5 g/dL. Which additional test could potentially be utilized to gather additional information about nutritional risk for malnutrition?
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Hemoglobin A1C
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Antinuclear antibodies (ANA)
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Prealbumin
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Chest x-ray
What is the process for carbon dioxide and oxygen exchange?
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Ventilation
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Gas exchange
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Perfusion
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Diffusion
The nurse is instructing an older client on the importance of adequate calcium and vitamin D intake. Which of the following age-related changes would this intervention affect?
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Decreased lung capacity
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Increased muscle atrophy
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Decreased elasticity
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Increased vascular resistance
For the client with chronic obstructive pulmonary disease (COPD), which dietary teaching should be incorporated?
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High-fat food choices
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Simple carbohydrates as primary food choice
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High-protein, calorie-dense food choices
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Low-fiber food choices
Which of the following is a primary goal of nutrition therapy for a client with chronic obstructive pulmonary disease (COPD)?
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Maintaining a healthy body weight
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Improving oxygenation status
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Preventing muscle wasting
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Lowering CO 2 levels
The nurse is instructing a client with chronic obstructive pulmonary disease (COPD) on strategies to maximize food intake. Which of the following responses by the client indicates additional education is needed?
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“I will treat myself to cake or pudding for dessert.”
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“I will eat add cheese to my food whenever possible.”
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“I will eat more cold foods rather than hot meals.”
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“I will try to eat as much as I can during the evening before I go to bed.”
A client with chronic obstructive pulmonary disease (COPD) is being assessed by a nurse. With palpitation, the nurse feels crackling. What does the crackling most likely indicate?
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Fremitus
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Orthopnea
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Crepitus
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Tuberculosis
Which of the following findings is the best indicator that the client has followed the prescribed nutritional plan to maintain a healthy weight?
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The client can verbalize why obesity is detrimental to pulmonary health.
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The client can describe the MyPlate approach to food selection.
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The client’s food log demonstrates adherence to healthy nutritional plan.
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The client has reached their recommended weight range.
A client states that they are experiencing a nighttime cough. Which medication could explain this symptom?
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Acetaminophen
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Ibuprofen
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Beta-2 agonist
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Angiotensin-converting enzyme (ACE) inhibitors