A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements indicates that the mother understands the teaching?
"My child will take the enzymes following meals."
"My child will take the enzymes to improve her metabolism."
"My child will take the enzymes 2 hours before meals."
"My child will take the enzymes to help digest the fat in foods."
The Correct Answer is D
D. "My child will take the enzymes to help digest the fat in foods."
Cystic fibrosis (CF) affects the exocrine glands, leading to thick and sticky mucus production, which can block the pancreatic ducts. As a result, children with CF have difficulty digesting fats and absorbing fat-soluble vitamins. Pancreatic enzyme replacement therapy (PERT) is prescribed to help improve fat digestion and nutrient absorption. These enzymes are taken with meals and snacks to aid in the breakdown of fats.
The other options are incorrect:
A. "My child will take the enzymes following meals." - This is the correct timing for taking pancreatic enzymes. The enzymes should be taken with meals and snacks, not following meals.
B. "My child will take the enzymes to improve her metabolism." - The purpose of taking pancreatic enzymes is not related to improving metabolism but to assist in fat digestion and nutrient absorption.
C. "My child will take the enzymes 2 hours before meals." - Taking pancreatic enzymes 2 hours before meals is not the recommended timing. They should be taken with meals and snacks to aid in fat digestion while eating.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "I will keep my baby in an upright position after feedings."
Gastroesophageal reflux (GER) is a condition where the stomach contents flow back into the esophagus, which can cause spitting up or regurgitation in infants. Keeping the baby in an upright position after feedings can help reduce the likelihood of reflux episodes. By holding the baby in an upright position for about 30 minutes after feeding, gravity can aid in keeping the stomach contents from flowing back into the esophagus.
The other statements are incorrect or do not address the management of gastroesophageal reflux:
B. "My baby's formula can be thickened with oatmeal." - Thickening formula with oatmeal is not a standard recommendation for managing GER in infants. In some cases, thickening formulas may be recommended, but it should be done under the guidance of a healthcare provider.
C. "I should position my baby side-lying during sleep." A side-lying position is not recommended for sleep in infants, as it increases the risk of sudden infant death syndrome (SIDS). The safe sleep position for infants is on their back.
D. "I will have to feed my baby formula rather than breast milk." - The type of feeding (formula or breast milk) does not directly impact the occurrence of gastroesophageal reflux. Both breast milk and formula can cause reflux in some infants. It is essential to discuss feeding options with a healthcare provider to determine the best approach for the individual infant's needs.
Correct Answer is C
Explanation
Severe anemia is a condition characterized by a significant decrease in the number of red blood cells or hemoglobin in the blood, leading to reduced oxygen-carrying capacity. This can result in fatigue, weakness, and shortness of breath in the affected individual.
A red blood cell transfusion is given to a child with severe anemia to increase the number of red blood cells and, consequently, the hemoglobin level in the blood. This helps improve oxygen delivery to tissues and organs, which can lead to increased energy levels and reduced fatigue.
Option A is incorrect because red blood cell transfusion is not given to help the body stop bleeding by forming a clot. Platelets are responsible for clot formation, not red blood cells.
Option B is incorrect because a red blood cell transfusion is not used to fight infections. White blood cells and the immune system are responsible for fighting infections.
Option D is incorrect because a red blood cell transfusion is not given to allow her parents to come to visit her. Transfusions are medical treatments to address specific medical conditions and are not related to visitation rights.
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