问题 单项选择题

A client with chronic obstructive pulmonary disease (COPD) and cor pulmonale is being prepared for discharge. The nurse should provide which instructions

A."Weigh yourself daily and report a loss of 1 lb in 1 day. "

B."Eat a high-sodium diet. "

C."Weigh yourself daily and report a gain of 2 lb in 1 day. "

D."Maintain bedrest. "

答案

参考答案:C

解析:COPD causes pulmonary hypertension, leading to right ventricular failure or cor pulmonale. The resultant venous congestion causes dependent edema. A weight gain may further stress the respiratory system and worsen the client's condition. He should eat a low-sodium diet to avoid fluid retention and should engage in moderate exercise to avoid muscle atrophy.

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单项选择题