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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Screen the child's visitors for active infections: Children with neutropenia have a significantly reduced ability to fight infections due to low neutrophil counts. Screening visitors for signs of infection helps prevent exposure to pathogens, which is a critical infection-control measure in neutropenic patients.

B. Monitor the child for indications of active bleeding: While monitoring for bleeding is important in leukemia, bleeding risk is primarily related to thrombocytopenia, not neutropenia. This intervention is relevant but not the priority for infection prevention.

C. Initiate a low-protein diet for the child: A low-protein diet is not indicated and may be harmful, as children with leukemia require adequate protein for growth, immune function, and recovery. Dietary restrictions should focus on food safety, not protein limitation.

D. Prepare the child for a platelet transfusion: Platelet transfusions are indicated for thrombocytopenia, not neutropenia. While supportive care may include transfusions, infection prevention through visitor screening is more directly related to neutropenic risk.

A. "The client might act seductively." B. "The client exhibits impulsive behavior." C. "The client is overly concerned about minor details." D. "The client is exceptionally clingy to others."

Correct Answer is B

Explanation

A. "The client might act seductively.": Acting in a seductive or sexually provocative manner is more characteristic of histrionic personality disorder. While borderline personality disorder (BPD) may involve intense interpersonal relationships, seductive behavior is not a defining feature.

B. "The client exhibits impulsive behavior.": Impulsivity is a hallmark characteristic of BPD and may manifest as self-harm, substance use, reckless spending, or risky sexual behavior. These behaviors often occur in response to emotional dysregulation and can complicate treatment and relationships.

C. "The client is overly concerned about minor details.": Preoccupation with minor details is more typical of obsessive-compulsive personality disorder (OCPD). BPD is instead marked by instability in mood, identity, and relationships rather than rigid attention to details.

D. "The client is exceptionally clingy to others.": Excessive clinginess is characteristic of dependent personality disorder, which involves a pervasive need to be taken care of. BPD involves intense but unstable relationships rather than consistent dependency.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a child who has neutropenia due to leukemia. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

A nurse is developing an in-service about personality disorders. Which of the following information should the nurse include when discussing borderline personality disorder?

Correct Answer is B

Explanation

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