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Exam NCLEX-RN topic 5 question 75 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 75
Topic #: 5
[All NCLEX-RN Questions]

A client has chronic obstructive pulmonary disease. She is slowly losing weight, and her daughter is very concerned about increasing her nutrition. The nurse helps the daughter devise a plan of care for her mother. The plan of care should include which of the following interventions to promote nutrition?

  • A. Offer her oral hygiene before and after meals.
  • B. Encourage her to consume milk products.
  • C. Encourage her to engage in an activity before a meal to stimulate her appetite.
  • D. Restrict her fluid intake to three glasses of water a day.
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Suggested Answer: A 🗳️
(A) Clients with respiratory diseases are generally mouth breathers. Cleaning the oral cavity may improve the clients appetite, increase her feelings of well-being, and remove the taste and odor of sputum. (B) Milk causes thick sputum; therefore, milk products would not be beneficial for this client. (C) Exercise prior to a meal would require increased O2 consumption and most likely would decrease the clients ability to eat. (D) Clients with respiratory diseases need increased fluid to liquefy secretions.

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