The nurse is making a follow-up visit to the home of a family with a baby newly diagnosed with cystic fibrosis. Which outcome indicates that the parents are adjusting to the child's care needs?
A) Baby has gained weight.
B) Baby's foul-smelling stool.
C) Baby produces large stool twice a day.
D) Baby appears flushed and is warm to touch.
A
Feedback:
Children with cystic fibrosis need pancreatic enzyme replacements to help absorb nutrients. The baby gaining weight indicates that these supplements are effective. Foul-smelling stool indicates that additional intervention is needed because fat is not being absorbed. Large stools indicate that nutrients are not being adequately absorbed. Flushing and warmth could indicate a fever or that the home environment is too warm for the child. If children with cystic fibrosis become overheated, they begin to lose excessive sodium and chloride through perspiration and become dehydrated.
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