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A nurse is teaching a client who has chronic obstructive pulmonary disease about ways to facilitate eating. Which of the following statements indicates a need for further teaching?

A.

"I will take my bronchodilators after meals."

B.

"I will rest for at least 30 minutes before eating."

C.

"I will eat five or six small meals each day."

D.

"I will choose foods that are not gas-forming."

Answer and Explanation

The Correct Answer is A

Rationale:

 

A. Taking bronchodilators before meals can help improve breathing, which is essential for eating comfortably, so it is better to take them before meals rather than after.

 

B. Resting before eating helps conserve energy and can make eating easier for individuals with COPD.

 

C. Eating small, frequent meals is beneficial for managing COPD because it prevents large meals that can lead to respiratory discomfort.

 

D. Choosing non-gas-forming foods can help reduce abdominal distention and discomfort during meals for individuals with COPD.


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Correct Answer is D

Explanation

Rationale:

A. This statement may indicate prolonged grief or depression but does not specifically point to the guilt or distress seen in traumatic grief.

B. This describes a physiological response to flashbacks, which is more indicative of post-traumatic stress disorder (PTSD) rather than traumatic grief.

C. This statement reflects emotional suppression, which can be common in military culture but does not directly indicate traumatic grief.

D. Expressing survivor's guilt, as in feeling that they should have died instead of their friend, is a hallmark of traumatic grief and indicates the client is struggling with the loss in a deeply distressing way.

Correct Answer is D

Explanation

Rationale:

A. An inverted P wave is not specifically associated with hypokalemia; it can be seen in various other conditions.

B. An elevated ST segment is not characteristic of hypokalemia; it is more associated with other conditions such as myocardial ischemia.

C. A wide QRS complex can occur with hypokalemia but is also seen in other conditions.

D. An abnormally prominent U wave is a classic sign of hypokalemia and can be seen in EKG changes associated with low potassium levels.

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