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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?

A.

"We will give our child pancreatic enzymes before snacks and meals."

B.

"We will restrict the amount of salt in our child's food."

C.

"I will prepare low-fat meals with limited protein for my child."

D.

"I will limit my child's fluid intake."

Answer and Explanation

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 D

Explanation

A. Visualizing the epiglottis with a tongue depressor is contraindicated in suspected epiglottitis due to the risk of triggering airway obstruction.

B. Transporting the child to radiology for a throat x-ray is not a priority and can delay necessary interventions.

C. Obtaining a throat culture is not appropriate in this situation, as airway compromise can occur quickly, and immediate management is crucial.

D. Placing the child in an upright position helps ease breathing and can alleviate distress, which is vital for a child with suspected epiglottitis.

Correct Answer is B

Explanation

A. This option is incorrect as it does not describe the expected blood pressure difference in coarctation of the aorta.

B. Coarctation of the aorta typically presents with higher blood pressure in the upper body (arms) and lower blood pressure in the lower body (legs) due to the obstruction of blood flow distal to the aortic arch.

C. This option is incorrect because while coarctation can lead to decreased perfusion in the lower extremities, it does not typically result in decreased blood pressure in both the arms and legs simultaneously.

D. While increased blood pressure may occur in the arms, the legs would not typically show increased blood pressure in cases of coarctation.

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