Patho Patho #78

Question

Which of the following diets would be most appropriate for a client with emphysema?

Answers

  1. High-calorie, high-protein diet.
    • Rationale:

      This answer choice is correct because clients with emphysema become dyspneic when eating so they should be encouraged to eat meals that are high in calories and high in protein.

  2. Low-fat, low-cholesterol diet.
    • Rationale:

      This answer choice is not correct because the highest priority for clients with emphysema regarding nutrition, is ensuring adequate caloric intake.

  3. Bland, soft diet.
    • Rationale:

      This answer choice is not correct because the highest priority for clients with emphysema regarding nutrition, is ensuring adequate caloric intake.

  4. Low-sodium diet.
    • Rationale:

      This answer choice is not correct because the highest priority for clients with emphysema regarding nutrition, is ensuring adequate caloric intake.

Overview

The focus of this question is asking the nurse to choose the most appropriate meal plan for a client with a diagnosis of emphysema. CLients with emphysema have decreased activity tolerance due to long standing and severe hypoxemia. For this reason, they can become dyspneic even when performing simple tasks such as eating, Therefore, it is best to encourage these clients to eat diets that are high in calories and protein.

Explanation

Learning Outcomes

EMphysema is a form of COPD in which the alveoli are destroyed and become inelastic. Clients with emphysema develop dyspnea due to air trapping within inelastic elveoli. These clients re at risk for anorexia due to the inability to eat as a result of progressive dyspnea with activity. Therefore, these clients should eat high calorie, high protein diets.

Test Taking Tip

Clients with COPD often must choose between breathing and eating so it is very critical to ensure high calorie intake with each meal.

Video Rationale