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 ["C","D"]
Explanation
A. This reflects a lack of understanding of conservation, as cutting a sandwich does not increase the quantity of food.
B. This belief shows a misunderstanding of conservation, where children may not recognize that the volume remains constant regardless of the container's shape.
C. Understanding that the amount of a substance remains the same even if its appearance changes is a key characteristic of conservation.
D. Recognizing that a ball of clay can be flattened and rolled back into a ball without changing its amount also demonstrates an understanding of conservation.
E. This belief indicates a misunderstanding of conservation, as the amount of liquid does not change based on the height or width of the container.
Correct Answer is B
Explanation
A. Enforcing strict bed rest without any physical activity can lead to feelings of isolation and boredom, which may negatively affect the child's well-being and engagement.
B. Allowing the child to decorate their hospital room with personal items fosters a sense of ownership and comfort, helping to promote emotional well-being and engagement during hospitalization.
C. Limiting visits can increase feelings of loneliness and anxiety in the child, which is not conducive to their emotional health; maintaining social connections is important for well-being.
D. Using medical terms may confuse the child and does not support their understanding or engagement; explanations should be age-appropriate and easily understood.