20. A nurse provides discharge teaching about nutrition to the parents of a child with cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?
"I will limit my child's fluid intake."
"I will prepare low-fat meals with limited protein for my child."
"We will restrict the amount of salt in our child's food."
"We will give our child pancreatic enzymes with snacks and meals.”
The Correct Answer is D
A. Children with CF are at risk for dehydration due to excessive salt loss in sweat, so adequate fluid intake is essential, not restriction.
B. Children with CF require high-calorie, high-fat, and high-protein diets to support growth and compensate for malabsorption. Low-fat, low-protein diets are inappropriate.
C. Sodium loss through sweat is significant in CF, especially in hot weather, so salt intake should not be restricted—in fact, extra salt may be needed.
D. Pancreatic insufficiency in CF leads to malabsorption of fats and proteins. Administering pancreatic enzymes with all snacks and meals aids digestion and improves nutrient absorption, which is essential for growth and weight maintenance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bright red blood indicates active arterial bleeding, most likely from the femoral artery used during the cardiac catheterization. The first priority is to stop the bleeding. Direct pressure should be applied just above the puncture site to help control the bleeding and prevent further blood loss.
B. While notifying the Cath Lab may be necessary later, intervention to stop the bleeding must come first to ensure patient safety.
C. Contacting the Interventional Radiologist may eventually be required, but it is not the first action. Immediate pressure to control bleeding is more urgent.
D. Applying a bulky dressing alone without direct pressure is inadequate in managing arterial bleeding and may delay life-saving intervention.
Correct Answer is B
Explanation
A. Increased urine output is not typical in early congestive heart failure (CHF); in fact, decreased urine output can occur due to reduced kidney perfusion.
B. Tachypnea (rapid breathing) is an early and key sign of CHF in children. It occurs due to pulmonary congestion and decreased cardiac output, leading to poor oxygenation and compensatory increased respiratory rate.
C. Bradycardia is a late and often ominous sign of cardiac deterioration in children, not an early indicator.
D. Inability to sweat is not a recognized clinical indicator of CHF. On the contrary, diaphoresis (especially during feeding in infants) can be an early sign.
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