Question

A client with COPD reports steady weight loss and that he is too tired to eat. Which nursing diagnosis would be the most appropriate for this client? 1) fatigue related to weight loss secondary to COPD 2) imbalanced nutrition, less than body requirements, related to fatigue 3) imbalanced nutrition, less than body requirements, related to COPD 4) ineffective breathing pattern, related to alveolar hypoventilation

Answer 1

The most appropriate nursing diagnosis for a client with COPD reporting weight loss and fatigue is 'imbalanced nutrition, less than body requirements, related to COPD'. This diagnosis addresses both the physical condition (COPD) and its consequential impact (fatigue and weight loss) on the client's nutrition. Hypoventilation due to COPD could also contribute to these symptoms.

Step-by-step explanation:

The most appropriate nursing diagnosis for a client with COPD who reports steady weight loss and fatigue would be imbalanced nutrition, less than body requirements, related to COPD (option 3). This diagnosis identifies both the client's physical condition (COPD) and its impact (fatigue, weight loss) on his ability to maintain sufficient nutrition. The fatigue experienced by the client further exacerbates the problem, making it difficult for the individual to consume adequate meals. It's also notable that COPD could result in hypoventilation, which leads to inefficient oxygenation to the tissues, contributing to the symptoms including fatigue and weight loss. The objective here would be to incorporate strategies to alleviate fatigue during meal times and to consider dietary adjustments that would enhance the patient's nutrition without escalating the fatigue.

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