A nurse is providing discharge teaching for a child who has cystic fibrosis. Which of the following should the nurse include?
Implement a fluid restriction during times of infection
Restrict physical activity
Administer pancreatic enzymes with meals and snacks
Provide a low-calorie, low-protein diet
The Correct Answer is C
Choice A reason: Fluid restriction is contraindicated in cystic fibrosis. These children are prone to dehydration due to excessive salt loss in sweat. Adequate hydration is essential, especially during infections.
Choice B reason: Physical activity is encouraged in children with cystic fibrosis as it helps improve lung function, mobilize secretions, and enhance overall well-being. Restriction is not recommended unless medically indicated.
Choice C reason: Pancreatic enzyme replacement is critical in cystic fibrosis due to pancreatic insufficiency. Enzymes must be taken with all meals and snacks to aid digestion and nutrient absorption. This is a cornerstone of nutritional management.
Choice D reason: Children with cystic fibrosis require high-calorie, high-protein diets to meet increased metabolic demands and support growth. A low-calorie, low-protein diet would be inappropriate and harmful.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: While some babies may begin to show improved head control and trunk strength around 4 months, sitting steadily without support is not typically achieved until later. This statement may set unrealistic expectations.
Choice B reason: There is no established correlation between sitting ability and tooth eruption. These developmental processes are governed by different physiological systems and timelines. This statement is inaccurate.
Choice C reason: Sitting steadily at 3 months is not developmentally appropriate. At this age, infants are still developing head control and core strength. Most require support to sit and cannot maintain balance independently.
Choice D reason: This is the most accurate response. Independent sitting usually develops between 6 and 9 months. At 3 months, it is normal for infants to require support. This response reassures the parent and reflects developmental norms.
Correct Answer is B
Explanation
Choice A reason: Toddlers lack the cognitive development to accurately use a numerical pain scale. They are better assessed using observational tools like FLACC or behavioral cues. Asking for a rating is inappropriate for this age group.
Choice B reason: Allowing the toddler to play with a stethoscope builds trust and reduces anxiety. It introduces the assessment tools in a non-threatening way, promoting cooperation and easing the transition into the exam. This approach is developmentally appropriate and supports therapeutic rapport.
Choice C reason: While videos may be helpful for older children, toddlers have limited attention spans and may not comprehend abstract explanations. Interactive play is more effective for this age group.
Choice D reason: Forcing a toddler to move away from the parent can increase distress and resistance. Assessments should begin with the child in a comfortable, secure position, often on the caregiver’s lap, and progress gradually.
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