A nurse in an outpatient clinic is caring for a school-age child who has cystic fibrosis. Which of the following findings should the nurse monitor as the best indication of the child's nutritional status?

The child's BMI

The child's pancreatic enzyme dose

The child's diet

The child's stool analysis

Answer and Explanation

The Correct Answer is A

A. The child's BMI: Children with cystic fibrosis often have difficulty absorbing nutrients due to pancreatic insufficiency. Monitoring the child's BMI provides a good overall indicator of nutritional status, as it accounts for both weight and height.
B. The child's pancreatic enzyme dose: While important, the enzyme dose is adjusted to help the child digest food, but it does not directly assess nutritional status.
C. The child's diet: The diet is important, but it doesn't provide a direct, quantifiable measure of nutritional status. It's more of a management tool.
D. The child's stool analysis: Stool analysis can help assess malabsorption, but it does not directly reflect overall nutritional status in terms of growth or weight gain.

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Correct Answer is ["A","B"]

Explanation

A. Proton pump inhibitors (PPIs): Reduce stomach acid production, which minimizes esophageal irritation and promotes healing.
B. H2-receptor antagonists: Decrease acid production in the stomach and are commonly used for GER.
C. Adrenergic bronchodilator: Used for respiratory issues, not GER or pyloric stenosis.
D. Antiviral: No evidence of a viral infection in this scenario.
E. Antispasmodic: Not indicated for GER or pyloric stenosis management.

A. "I will give lansoprazole 30 minutes after their feeding." B. "I will lay my baby on her side after feedings." C. "I will add rice cereal to my baby's feedings." D. "I will use a nipple that has a wide base to feed them."

Correct Answer is C

Explanation

A. "I will give lansoprazole 30 minutes after their feeding." Lansoprazole should be administered 30 minutes before feedings to effectively reduce stomach acid.
B. "I will lay my baby on her side after feedings." Side-lying positioning increases the risk of sudden infant death syndrome (SIDS). The infant should be placed on their back.
C. "I will add rice cereal to my baby's feedings." Adding rice cereal can thicken the formula, helping to reduce reflux episodes.
D. "I will use a nipple that has a wide base to feed them." While wide-based nipples can be helpful for latch during breastfeeding, they do not significantly impact GER management.

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A nurse in an outpatient clinic is caring for a school-age child who has cystic fibrosis. Which of the following findings should the nurse monitor as the best indication of the child's nutritional status?

Nursing Test Bank

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