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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","G"]
Explanation
- A. Provide oxygen at 6 L/min via nasal cannula: Oxygen is only used if the patient has hypoxemia (O2 saturation below 92%), which is not indicated in this scenario.
B. Perform passive ROM exercises: Not appropriate during a sickle cell crisis due to the risk of exacerbating pain.
C. Administer IV fluids: Essential to reduce blood viscosity and prevent further sickling.
D. Obtain consent for a blood transfusion: Necessary in severe anemia (e.g., hemoglobin of 5 g/dL).
E. Restrict fluid intake to 1,400 mL/day: Fluid restriction is contraindicated; hydration is key to management.
F. Administer meperidine IV: Meperidine is generally avoided due to the risk of neurotoxicity; other opioids (e.g., morphine) are preferred.
G. Encourage bedrest: Reduces oxygen demand during a crisis.
Correct Answer is D
Explanation
A. "I should give the iron with milk to help prevent stomach upset.": Milk should not be given with iron supplements as it can decrease the absorption of iron. Vitamin C is often recommended with iron to enhance absorption.
B. "My child should avoid eating citrus fruits while taking the supplements.": Citrus fruits, which are high in vitamin C, actually help increase the absorption of iron, so they should not be avoided.
C. "I should take my child to the emergency room if his stool becomes dark.": Dark stools are a common and harmless side effect of iron supplementation due to unabsorbed iron, so this is not an emergency situation.
D. "My child should take the supplement through a straw.": Liquid iron supplements can stain the teeth. To avoid this, it is recommended to give the supplement through a straw to minimize contact with the teeth.
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