A nurse is reinforcing discharge teaching with the parents of a child who has cystic fibrosis. Which of the following instructions should the nurse include?

Implement a fluid restriction during times of infection

Provide a low calorie, low protein diet

Restrict physical activities

Administer pancreatic enzymes with meals and snacks

Answer and Explanation

The Correct Answer is D

A. Implement a fluid restriction during times of infection: This is not a recommended practice for cystic fibrosis. In fact, cystic fibrosis patients often need increased fluid intake, especially during infection, to help thin mucus secretions and stay hydrated.

B. Provide a low-calorie, low-protein diet: This is incorrect. Children with cystic fibrosis typically have a high-calorie, high-protein diet to support growth and energy expenditure, as they have trouble absorbing nutrients.

C. Restrict physical activities: This is not correct. Children with cystic fibrosis should engage in physical activity to help with lung function and overall health. Physical activity should not be restricted unless there are specific complications.

D. Administer pancreatic enzymes with meals and snacks: This is correct. Children with cystic fibrosis often have pancreatic insufficiency and need to take pancreatic enzymes with meals and snacks to help digest food and absorb nutrients.

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Correct Answer is C

Explanation

A. Tetralogy of Fallot: A cyanotic defect that decreases pulmonary blood flow due to pulmonary stenosis.

B. Coarctation of the aorta: Involves narrowing of the aorta, which affects systemic circulation, not pulmonary blood flow.

C. Patent ductus arteriosus: Causes increased pulmonary blood flow as blood shunts from the aorta to the pulmonary artery due to the open ductus arteriosus.

D. Tricuspid atresia: A cyanotic defect that decreases pulmonary blood flow by preventing blood from passing through the tricuspid valve.

A. Foot B. Forearm C. Earlobe D. Fingertip E. Toe F. Cheek G. Cheek

Correct Answer is ["A","C","D","E"]

Explanation

A. Foot: Suitable for infants or younger children, especially in cases of limited upper extremity access.

B. Forearm: Not a typical placement site for pulse oximetry due to lack of adequate perfusion.

C. Earlobe: Often used when peripheral sites are unreliable, especially in cases of poor circulation.

D. Fingertip: The most common site for older children or adults.

E. Toe: Frequently used in infants or small children.

F. Cheek: Not a standard site for pulse oximeter placement.

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A nurse is reinforcing discharge teaching with the parents of a child who has cystic fibrosis. Which of the following instructions should the nurse include?

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