In teaching a COPD patient about eating, which statement indicates a need for further teaching?

• A. I will rest for at least 30 minutes
• B. I will take bronchodilators after meals
• C. I will eat five or six small meals throughout the day
• D. I will choose foods that are not gas forming

Answer: (B)

Timing bronchodilator use to optimize breathing during meals is the key idea. In COPD, meals can provoke dyspnea, so taking bronchodilators before eating helps open the airways, reduce the work of breathing, and make it easier to eat comfortably and maintain nutrition. The plan to take bronchodilators after meals misses this opportunity to improve airflow when it's most needed, so it signals a misconception that needs correction.

Resting after meals can help lessen exertion during digestion, and opting for five or six small meals a day reduces the volume of food to handle at one time, both of which support easier eating. Choosing foods that are not gas forming helps prevent abdominal distension and discomfort that can worsen shortness of breath.