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
Explanation
A. Severe cyanosis: More typical of cyanotic congenital heart defects, not coarctation of the aorta, which is an acyanotic defect.
B. Machine-like murmur: Characteristic of patent ductus arteriosus (PDA), not coarctation of the aorta.
C. Decreased blood pressure in the legs: Classic finding in coarctation of the aorta due to narrowed aortic arch restricting blood flow to the lower body.
D. Pulmonary edema: Possible in severe cases but not a primary or expected manifestation.
Correct Answer is C
Explanation
A. Initiate a 2 L/day fluid restriction: Fluid intake should be increased, not restricted, during a sickle cell crisis to help prevent dehydration and improve circulation.
B. Encourage exercise: Exercise is not recommended during a sickle cell crisis as it can worsen symptoms and lead to more complications.
C. Assist with administering a blood transfusion: Blood transfusions are a common treatment during a sickle cell crisis to help increase the number of healthy red blood cells and decrease the risk of further complications.
D. Withhold opioids to avoid dependence: Pain management is essential in a sickle cell crisis, and withholding opioids could lead to unnecessary suffering. Opioids should be given based on the severity of the pain.
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