A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?
"We will give our child pancreatic enzymes before snacks and meals."
"We will restrict the amount of salt in our child's food."
"I will prepare low-fat meals with limited protein for my child."
"I will limit my child's fluid intake."
The Correct Answer is A
A. Giving pancreatic enzymes before snacks and meals is essential for children with cystic fibrosis to help with digestion and nutrient absorption due to their pancreatic insufficiency.
B. Children with CF often require increased salt intake, especially during hot weather or heavy exercise, due to higher salt losses in sweat.
C. A child with CF typically needs a high-calorie, high-fat diet to meet their energy requirements and to support growth, rather than low-fat meals with limited protein.
D. Limiting fluid intake is not recommended; children with CF often need to stay well-hydrated to help manage thick secretions and promote overall health.
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Correct Answer is ["A","B","D","E"]
Explanation
A. Physical activity can improve academic performance, as studies show a positive correlation between physical fitness and cognitive function.
B. Engaging in physical activity four days a week is consistent with recommendations for school-age children, promoting overall health and fitness.
C. While light activities are beneficial, it is important for children to engage in moderate to vigorous activities for optimal health, so this statement may not fully reflect effective teaching.
D. Climbing is indeed a beneficial activity that helps strengthen muscles, showing an understanding of how different physical activities contribute to physical development.
E. The statement regarding exercise reducing the risk of diabetes is accurate and reflects an understanding of the long-term health benefits of physical activity.
Correct Answer is D
Explanation
A. Using dessert as a reward for eating vegetables can create a negative association with healthy foods, making them seem like a chore rather than a normal part of the diet.
B. Labeling foods as "good" and "bad" can lead to guilt or shame around eating, which is counterproductive to fostering a healthy relationship with food.
C. Encouraging children to eat all the food on their plate, regardless of hunger cues, can promote overeating and a disconnection from their body's signals.
D. Offering a variety of foods and allowing children to choose from healthy options encourages autonomy, helps them explore new foods, and supports a positive relationship with food.