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
Explanation
A. Furosemide is a loop diuretic that can cause potassium loss; therefore, it is essential for the child to eat potassium-rich foods to prevent hypokalemia.
B. Taking furosemide at bedtime is not advisable due to the increased risk of nocturia and sleep disturbances from frequent urination.
C. Aspirin is not recommended without medical guidance, especially for children, as it can increase the risk of Reye's syndrome.
D. Expecting swelling in the hands and feet contradicts the purpose of furosemide, which is to reduce fluid overload; parents should report any unexpected swelling to the healthcare provider.
Correct Answer is A
Explanation
A. Crushed ice is appropriate after a tonsillectomy as it can help soothe the throat and is a clear liquid that is easy for the child to swallow.
B. Cranberry juice is acidic, which can irritate the throat and is generally not recommended immediately after tonsillectomy.
C. Orange juice is also acidic and could cause discomfort to the healing throat tissues, making it unsuitable for post-operative care.
D. A vanilla milkshake may be too thick for the child to swallow comfortably after surgery and can pose a risk of choking.