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.
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Related Questions
Correct Answer is C
Explanation
A. "He is always hungry.": This is not typically a sign of a congenital heart defect. Many infants are hungry frequently as they grow, so this would not be an alerting sign.
B. "He is fussy for several hours every day.": Fussiness is common in infants and does not necessarily indicate a congenital heart defect.
C. "He tires out during feedings.": This is a concerning sign. Infants with congenital heart defects often have difficulty feeding due to poor oxygenation and energy reserves. Fatigue during feedings is a common symptom of heart defects.
D. "He sleeps all the time.": Sleeping a lot could be normal for a 1-month-old infant, and it would not necessarily indicate a congenital heart defect unless the infant is lethargic or difficult to rouse.
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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