A nurse is planning care for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan?
Decrease pancreatic enzymes if steatorrhea develops.
Limit fluid intake to 750ml per day.
Increase fat content in the child's diet to 40% of total calories.
Administer pancreatic enzymes 2 hr after meals.
The Correct Answer is C
A. Pancreatic enzymes should not be decreased for steatorrhea; they are required to help with digestion.
B. Fluid intake should not be restricted; hydration is important for children with cystic fibrosis.
C. Children with cystic fibrosis need a high-calorie, high-fat diet due to malabsorption of nutrients and increased energy needs.
D. Pancreatic enzymes should be administered with meals, not two hours after.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["93"]
Explanation
To calculate the maximum recommended dose of sertraline (Zoloft) for a child who weighs 31 kg, follow these steps:
- Identify the maximum dose per kilogram: 3 mg/kg/day.
- Multiply the child's weight by this maximum dose:
MaximumDose(mg/day) =31kg×3mg/kg/day= 93mg
So, the maximum recommended dose for this child would be 93 mg/day (rounded to the nearest whole number).
Correct Answer is D
Explanation
A. Polyuria is more commonly seen in hyperglycemia, not hypoglycemia, so it is unlikely to be present with a blood glucose level of 55 mg/dL.
B. Dry, flushed skin is typically a sign of hyperglycemia (e.g., in diabetic ketoacidosis), not hypoglycemia.
C. Deep, rapid respirations are a symptom of metabolic acidosis or severe hyperglycemia, not hypoglycemia.
D. Tachycardia is a common compensatory response to hypoglycemia, as the body tries to increase glucose delivery to tissues.
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