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.”

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Frequent swallowing is a classic sign of post-tonsillectomy hemorrhage, as the child may be swallowing blood that is draining down the throat. This can be a subtle but early indicator of bleeding and requires immediate evaluation.
B. Increased pain is expected in the immediate postoperative period and not specific to hemorrhage.
C. Drooling may be due to throat pain or refusal to swallow but is not a key indicator of bleeding.
D. Poor fluid intake is common after tonsillectomy due to pain and discomfort, but not specific to hemorrhage.

A. Place a bedside humidifier at the head of the client's bed. B. Suction the nasopharynx as needed. C. Perform chest physiotherapy. D. Withhold fluids until the client demonstrates a gag reflex.

Correct Answer is D

Explanation

A. A humidifier can help keep secretions moist and reduce discomfort, but it does not prevent aspiration and is not a priority in the immediate postoperative period.
B. Suctioning the nasopharynx should be done with caution after a tonsillectomy, as it can irritate the surgical site and cause bleeding; it is not a routine action to prevent aspiration.
C. Chest physiotherapy is not appropriate in the immediate postoperative period following a tonsillectomy and could increase the risk of bleeding.
D. After a tonsillectomy, the nurse should withhold oral fluids until the child is fully awake and has a demonstrated gag reflex, which helps ensure that the airway is protected and reduces the risk of aspiration.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings is a manifestation of hemorrhage?

Correct Answer is A

Explanation

A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy. Which actions should the nurse plan to take to prevent aspiration?

Correct Answer is D

Explanation

Which of the following would surgical closure of the patent ductus arteriosus do?

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