A nurse is preparing to teach the parents of a child who has cystic fibrosis. Which of the following instructions should the nurse plan to include?
Trim the fat from red meat prior to cooking.
Give the child hot foods to reduce the sense of fullness.
Administer pancreatic enzymes 30 min after meals.
Provide a diet high in protein and calories.
The Correct Answer is D
A. Trim the fat from red meat prior to cooking: Children with cystic fibrosis (CF) require a high-calorie, high-fat diet due to malabsorption from pancreatic insufficiency. Trimming fat would reduce caloric intake and fat-soluble vitamin absorption, which is contraindicated in CF nutritional management.
B. Give the child hot foods to reduce the sense of fullness: Food temperature does not significantly affect satiety or nutrient absorption in CF. The focus should be on calorie density and nutrient content rather than temperature, as energy needs are significantly increased in these children.
C. Administer pancreatic enzymes 30 min after meals: Pancreatic enzyme replacement therapy should be given with meals or immediately before eating to optimize digestion of fats, proteins, and carbohydrates. Administering enzymes after meals would reduce nutrient absorption and worsen malnutrition.
D. Provide a diet high in protein and calories: Children with CF have increased metabolic demands and impaired nutrient absorption, making a high-calorie, high-protein diet essential to support growth, maintain weight, and compensate for malabsorption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Bacon and cheese quiche with milk: Bacon is pork, which is prohibited in kosher dietary laws, and combining meat with dairy (cheese) is also not allowed. This choice violates both the type of meat and the meat–dairy combination rules.
B. Ham sandwich with milk: Ham is derived from pork, which is forbidden in kosher practice, and pairing it with milk further violates the prohibition against mixing meat and dairy. This makes the selection inappropriate for a kosher diet.
C. Shrimp salad and tomato soup with milk: Shrimp is considered a non-kosher seafood and cannot be consumed under kosher laws. Including it on the tray makes this option unacceptable regardless of the other items.
D. Scrambled eggs and toast with milk: Eggs are considered kosher, and when paired with dairy (milk), they comply with kosher dietary rules because eggs are neither meat nor fish. Toast is acceptable, making this the appropriate choice for a client following kosher traditions.
Correct Answer is D
Explanation
A. Headache: Headache is not an expected finding during cardiac catheterization. If it occurs, it may indicate an unrelated issue such as anxiety, dehydration, or reaction to contrast dye, but it is not typical of the procedure itself.
B. Numbness and tingling of the extremities: Numbness and tingling are not expected during cardiac catheterization. These symptoms could suggest a complication such as nerve compression, impaired circulation, or allergic reaction, requiring immediate evaluation.
C. Increased salivation: Increased salivation is not associated with cardiac catheterization. This finding may be linked to oral stimulation or nausea, but it is not a normal response to the procedure.
D. Sensation of skin warmth: Clients often report a sensation of warmth or flushing during the injection of contrast dye used in cardiac catheterization. This response is expected and temporary, resulting from vasodilation and the chemical properties of the contrast medium.
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