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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While play therapy can be beneficial, it is not the most relevant action for a 10-year-old child in this context.
B. Discouraging visits from friends can lead to feelings of isolation and is not aligned with Erikson's stage of industry vs. inferiority, where children need opportunities for social interaction.
C. A consistent routine is important for children to feel secure and reduce anxiety.
D. Encouraging the child to continue with schoolwork fosters a sense of accomplishment and helps maintain normalcy, promoting their psychosocial development.
Correct Answer is D
Explanation
A. Tracheoesophageal fistula involves an abnormal connection between the esophagus and trachea, typically presenting with respiratory distress, coughing, and feeding difficulties, not a palpable abdominal mass and blood in stools.
B. Hypertrophic pyloric stenosis is characterized by projectile vomiting, dehydration, and an olive-shaped mass in the upper abdomen, not blood and mucus in the stools.
C. Inguinal hernia may present with a bulging mass in the groin area, but it does not cause blood or mucus in stools.
D. Intussusception is characterized by the telescoping of one part of the intestine into another, which can cause a palpable mass, abdominal pain, and stools mixed with blood and mucus (often referred to as "currant jelly" stools).
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