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 A
Explanation
A. Avoid a diet consisting of primarily milk: Cow's milk is low in iron and can interfere with the body's ability to absorb iron from other sources. A diet primarily consisting of milk can lead to iron deficiency anemia in young children. Therefore, it's important to offer a variety of iron-rich foods.
B. Limit intake of high-protein foods: High-protein foods are important for growth and development and should not be restricted unless there is a specific medical reason. This recommendation would not be helpful in preventing iron deficiency anemia.
C. Administer fat-soluble vitamins daily: Fat-soluble vitamins (A, D, E, and K) are essential, but they do not play a direct role in preventing iron deficiency anemia. The primary focus should be on iron-rich foods and not supplements unless indicated.
D. Include whole grains and legumes in the diet: Whole grains and legumes are healthy foods that can provide iron, but they are also high in phytates, which can interfere with iron absorption. While they should be part of a balanced diet, they alone are not sufficient to prevent iron deficiency anemia. Iron-rich foods like meat, fortified cereals, and leafy greens should be emphasized.
Correct Answer is C
Explanation
A. Weighing the child: This can be done safely without causing airway obstruction, though it is not the priority in respiratory distress.
B. Assessing the child's vital signs: Necessary to monitor the child's condition and does not exacerbate epiglottitis.
C. Inspecting the child's mouth and throat with a tongue blade: This is contraindicated as it can cause airway spasm and complete obstruction in a child with epiglottitis.
D. Listening to the child's lungs: Safe and part of the assessment for respiratory distress.
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