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.

Answer and Explanation

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.

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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.

A. Duchenne muscular dystrophy usually improves as the child gets older. B. Speech and vision may be impaired and inhibit communication. C. Cognitive impairment can improve with intensive therapy. D. Mobility concerns usually arise later in adulthood.

Correct Answer is B

Explanation

A. Duchenne muscular dystrophy is a progressive condition that worsens over time, leading to increasing disability.

B. Children with DMD may experience speech and vision impairments as part of the disease process, which could affect communication.

C. Cognitive impairment is often a feature of DMD, but it does not typically improve with therapy. It is a progressive issue.

D. Mobility concerns in DMD begin in childhood, not adulthood, as the muscles weaken and deterioration progresses.

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A nurse is planning care for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is creating a plan of care for a pediatric client who has been diagnosed with Duchenne muscular dystrophy (DMD). Which of the following factors should the nurse consider when planning care?

Correct Answer is B

Explanation

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