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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. Tracheoesophageal fistula involves an abnormal connection between the esophagus and trachea, typically presenting with respiratory distress, coughing, and feeding difficulties, not a palpable abdominal mass and blood in stools.

B. Hypertrophic pyloric stenosis is characterized by projectile vomiting, dehydration, and an olive-shaped mass in the upper abdomen, not blood and mucus in the stools.

C. Inguinal hernia may present with a bulging mass in the groin area, but it does not cause blood or mucus in stools.

D. Intussusception is characterized by the telescoping of one part of the intestine into another, which can cause a palpable mass, abdominal pain, and stools mixed with blood and mucus (often referred to as "currant jelly" stools).

A. "Clinicians should participate in the discussion with the family about the child's prognosis." B. "Palliative care should be offered once a child has less than 6 months to live." C. "Parents who express hope of their child surviving are less accepting of palliative care." D. "Palliative care should be given separately from curative care."

Correct Answer is A

Explanation

A. Clinicians should be involved in discussions about the child’s prognosis to ensure that the family receives clear, compassionate information for decision-making.

B. Palliative care can and should be introduced earlier in the course of the illness, not just when the child is expected to live less than 6 months.

C. Parents expressing hope for survival do not necessarily reject palliative care. Palliative care can focus on comfort and quality of life even when there is still hope for recovery.

D. Palliative care should be integrated with curative care, as it can improve the quality of life while still pursuing treatment options.

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A nurse is planning care for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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