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3:36 PM Sat Aug 3 student.atitesting.com RN Nutrition Online Practice 2023 A ati Question: 16 of 60 46% CLOSE Time Elapsed: 00:32:35 Pause Remaining: 08:20:00 PAUSE FLAG A nurse is providing dietary teaching for a client who has COPD. Which of the following instructions should the nurse include in the teaching? Eat at least three well-proportioned large meals a day. Drink low-protein, low-calorie nutrition formulas between meals. Avoid adding gravies and sauces to foods. Consume foods that are soft in texture and easy to chew. PREVIOUS CONTINUE

Transcript

0:00 So you've got several questions.

00:01 We're just going to jump in.

00:02 Question one, the main goals of medical nutrition therapy for patients with copd.

00:08 These main goals are going to be to maintain optimal nutritional status, to manage any underlying conditions, adequate energy intake, to maintain adequate protein intake, to provide adequate micronutrients, and fluid management.

00:26 Okay, so i'm going to go ahead and just list those out right now.

00:32 And describe them.

00:33 So to maintain optimal nutritional status, that's a goal.

00:46 This is important for overall health, immune function, energy levels.

00:53 Another goal under question number one for copd patients would be to maintain, to manage, excuse me, underlying conditions.

01:11 So any comorbidities like hypertension or depression can impact the nutritional status, so you'd want to manage that.

01:19 You'd also want to make sure that you have adequate energy intake.

01:29 And this is to ensure that they're getting enough calories to meet their energy needs, especially because copd can lead to increased energy expenditure and weight loss.

01:40 You want to maintain adequate protein.

01:47 So protein intake is going to be important.

01:54 And this is to promote the muscle strength and the respiratory muscle functions that are going to be used as you have copd.

02:02 You want to make sure that they have the proper micronutrients.

02:17 And this is because, you know, the vitamins and minerals that are needed are going to be needed for immune function, which of course is needed for copd.

02:26 And then fluid management.

02:28 So making sure that there's enough fluids.

02:35 And that is because when you have issues with copd, you can experience edema or even dehydration.

02:45 So fluid balance is going to be important.

02:47 So moving on to question two, you ask, what factors interfere with food intake for patients with copd? what dietary recommendations might help this woman get the nutrients that she needs during her hospitalizations? and then for the last one you ask, there's no three listed, four is what fluid should be encouraged? okay.

03:14 So factors interfering with food intake for patients would be shortness of breath.

03:22 So known as dyspnea...

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