A nurse is planning care for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan?
Decrease pancreatic enzymes if steatorrhea develops.
Limit fluid intake to 750ml per day.
Increase fat content in the child's diet to 40% of total calories.
Administer pancreatic enzymes 2 hr after meals.
The Correct Answer is C
A. Pancreatic enzymes should not be decreased for steatorrhea; they are required to help with digestion.
B. Fluid intake should not be restricted; hydration is important for children with cystic fibrosis.
C. Children with cystic fibrosis need a high-calorie, high-fat diet due to malabsorption of nutrients and increased energy needs.
D. Pancreatic enzymes should be administered with meals, not two hours after.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Placing the infant supine in the crib is not a recommended position for administering oral medication as it may cause choking or aspiration.
B. Mixing medication with formula is not recommended, as it may alter the effectiveness of the medication or lead to incomplete dosing.
C. Positioning the syringe to the side of the infant's tongue is the best method to prevent choking and allow the infant to swallow the medication effectively.
D. A medicine cup is not appropriate for measuring medication for an infant due to the small volume and potential for spillage.
Correct Answer is C
Explanation
A. Fear of bodily injury is a concern but may not be as prominent as separation anxiety, particularly in younger children.
B. Fear of pain is significant but often secondary to the anxiety of being separated from parents.
C. Separation anxiety is the most prominent stressor for toddlers and preschoolers, as they struggle with being away from their caregivers.
D. Loss of control can contribute to stress but is more relevant in older children who understand their environment more clearly.
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