A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements indicates that the mother understands the teaching?
"My child will take the enzymes following meals."
"My child will take the enzymes to improve her metabolism."
"My child will take the enzymes 2 hours before meals."
"My child will take the enzymes to help digest the fat in foods."
The Correct Answer is D
D. "My child will take the enzymes to help digest the fat in foods."
Cystic fibrosis (CF) affects the exocrine glands, leading to thick and sticky mucus production, which can block the pancreatic ducts. As a result, children with CF have difficulty digesting fats and absorbing fat-soluble vitamins. Pancreatic enzyme replacement therapy (PERT) is prescribed to help improve fat digestion and nutrient absorption. These enzymes are taken with meals and snacks to aid in the breakdown of fats.
The other options are incorrect:
A. "My child will take the enzymes following meals." - This is the correct timing for taking pancreatic enzymes. The enzymes should be taken with meals and snacks, not following meals.
B. "My child will take the enzymes to improve her metabolism." - The purpose of taking pancreatic enzymes is not related to improving metabolism but to assist in fat digestion and nutrient absorption.
C. "My child will take the enzymes 2 hours before meals." - Taking pancreatic enzymes 2 hours before meals is not the recommended timing. They should be taken with meals and snacks to aid in fat digestion while eating.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Apex of the heart:The apex of the heart is the preferred site for measuring an infant's heart rate. It is located at the 4th or 5th intercostal space, just medial to the midclavicular line, allowing for accurate auscultation of the heartbeat.
B. Carotid artery:While the carotid artery can be used to assess heart rate in older children and adults, it is not ideal for infants due to the risk of compromising circulation to the brain if pressure is applied too forcefully.
C. Brachial artery:The brachial artery is often used to assess pulse in infants, especially in cases of CPR, but it is not the preferred site for routine heart rate measurement. It may be used when assessing circulation or checking for pulses, but auscultation at the apex is more accurate for heart rate.
D. Radial artery:The radial artery can be difficult to palpate in infants due to their small size and is generally not used for heart rate assessment in this age group. The apex is a more reliable location.
Correct Answer is D
Explanation
In cystic fibrosis, the pancreas does not secrete enough digestive enzymes, leading to malabsorption of nutrients, especially fats. To help with digestion, pancreatic enzymes are prescribed to be taken with meals and snacks. These enzymes should be given just before or with each meal or snack to aid in the breakdown and absorption of nutrients.
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