A client with chronic obstructive pulmonary disease (COPD) is prescribed long-term oxygen therapy. What is the most important nursing consideration for this client?

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Question 1 of 5

A client with chronic obstructive pulmonary disease (COPD) is prescribed long-term oxygen therapy. What is the most important nursing consideration for this client?

Correct Answer: B

Rationale: Monitoring carbon dioxide levels (B) is critical in COPD clients on long-term oxygen therapy, as they may retain CO2, risking respiratory acidosis if oxygen suppresses their hypoxic drive (target SpO2 88-92%). Oxygen toxicity (A) is rare at low flows used in COPD. Humidification (C) enhances comfort but isn't the priority. Oxygen supply (D) is a general need, not COPD-specific. CO2 monitoring via ABGs or capnography ensures safe titration, preventing hypercapnia, a key consideration per COPD management guidelines like GOLD standards.

Question 2 of 5

The best diet for the client with Meniere's syndrome is one that is:

Correct Answer: B

Rationale: A low-sodium diet is best for Meniere's syndrome, reducing fluid retention in the inner ear, which mitigates vertigo, tinnitus, and hearing loss flare-ups. High fiber aids digestion, not ear issues; high iodine or low fiber lacks relevance here. Nurses teach this dietary shift to control symptoms, emphasizing sodium's role in fluid balance, supporting long-term management of this chronic condition.

Question 3 of 5

Which of the following meal choices is suitable for a 6-month-old infant?

Correct Answer: C

Rationale: Rice cereal, apple juice, and formula suit a 6-month-old, aligning with early solid introduction gluten-free, digestible, and safe, per pediatric guidelines. Egg whites risk allergies, whole milk isn't recommended before 1 year, and melba toast is a choking hazard. Nurses advise this menu to support growth, avoiding allergens or hard foods, ensuring nutritional balance for this developmental stage.

Question 4 of 5

A client with iron-deficiency anemia is taking an oral iron supplement. The nurse should tell the client to take the medication with:

Correct Answer: A

Rationale: Orange juice enhances iron absorption in iron-deficiency anemia via vitamin C, reducing ferric to ferrous form for better uptake a proven dietary aid. Milk inhibits it, water or apple juice lack this boost. Nurses teach this pairing, improving hemoglobin levels, optimizing therapy for fatigue and pallor relief.

Question 5 of 5

The physician has ordered a low-potassium diet for a client with renal failure. Which food should be limited due to its potassium content?

Correct Answer: B

Rationale: Bananas, with ~400-450 mg potassium per fruit, must be limited on a low-potassium diet in renal failure, as impaired kidneys can't excrete excess, risking hyperkalemia broccoli's moderate, beef and rice's low potassium fit better. Nurses teach this, preventing cardiac issues, tailoring diets for renal safety.

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