Select all the nursing interventions appropriate for managing cystic fibrosis in children:.

Choice A rationale:

"I have difficulty breathing when I'm playing outside.”.

This statement may be relevant to a respiratory assessment in a child with CF but does not address the typical gastrointestinal symptoms associated with the condition, such as greasy stools.

Choice B rationale:

"My fingers and toes look round and wide.”.

This statement is not related to the typical symptoms of CF.

The characteristic physical findings in CF are often related to respiratory and gastrointestinal issues rather than finger and toe appearance.

Choice C rationale:

"My stools are greasy and float in the toilet.”.

This statement is an accurate description of one of the common gastrointestinal symptoms of CF.

CF can lead to malabsorption of fats, resulting in greasy, foul-smelling stools that float in the toilet due to their high fat content.

Choice D rationale:

"I often have trouble controlling my blood sugar.”.

This statement is not typically associated with CF.

Blood sugar control issues are more commonly linked to conditions like diabetes, not CF, which primarily affects the respiratory and gastrointestinal systems.

Administer respiratory treatments, including chest physiotherapy.

C. Emphasize the importance of hand hygiene.

D. Provide psychological counseling and support.

Choice A rationale:

Administering respiratory treatments, including chest physiotherapy, is essential in managing cystic fibrosis in children.

Cystic fibrosis often results in thick, sticky mucus in the lungs, making it difficult to clear airway secretions.

Chest physiotherapy helps loosen and mobilize these secretions, improving lung function and reducing the risk of respiratory infections.

Choice B rationale:

Encouraging a low-calorie, low-protein diet is not an appropriate intervention for managing cystic fibrosis in children.

Children with cystic fibrosis typically have increased nutritional needs due to malabsorption of nutrients, and a low-calorie, low-protein diet could exacerbate their nutritional deficiencies and growth issues.

Choice C rationale:

Emphasizing the importance of hand hygiene is a crucial nursing intervention for managing cystic fibrosis in children.

Cystic fibrosis patients are more susceptible to respiratory infections, and good hand hygiene helps prevent the spread of infections, which is especially important in a healthcare setting.

Choice D rationale:

Providing psychological counseling and support is essential for children with cystic fibrosis.

The chronic nature of the disease, frequent hospitalizations, and daily treatments can take a toll on a child's mental health.

Psychological support helps them cope with the emotional challenges and stress associated with their condition.

Choice E rationale:

Avoiding exercise and physical activity is not an appropriate intervention for managing cystic fibrosis in children.

Physical activity is beneficial for maintaining lung function and overall health in individuals with cystic fibrosis.

It helps improve airway clearance and strengthen respiratory muscles.