The nurse has provided instructions to the mother of a child with cystic fibrosis (CF) about appropriate dietary measures
Which of the following statements, if made by the mother, indi-cates an understanding of the diet that should be provided to the child? 1. "The diet needs to be low in fat."
2. "The diet needs to be low in protein."
3. "The diet needs to be high in calories."
4. "The diet needs to be low in calories."
3
Rationale: Children with CF are managed with a high-calorie, high-protein diet. Pancreatic en-zyme replacement therapy and water-soluble vitamin supplements (A, D, E, and K) are adminis-tered. If nutritional problems are severe, supplemental tube feedings or parenteral nutrition is administered. Fats are not restricted unless steatorrhea cannot be controlled by administration of increased pancreatic enzymes.
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A patient has refused to take the medications brought in by a nurse. The nurse will chart,
1. "Instructed patient that the medications will be taken now or later." 2. "Explained to patient that unless medications are taken, the physician will likely issue a discharge." 3. "Medications refused; physician notified." 4. "Physician notified that patient is uncooperative."
A child, in renal failure, is diagnosed with hyperkalemia. Which food choices will the nurse teach the parents and child to avoid?
1. Carrots and green, leafy vegetables 2. Chips, cold cuts, and canned foods 3. Spaghetti and meat sauce, breadsticks 4. Hamburger on a bun, cherry gelatin
During the use of moist and dry applications, the patient's skin should be checked often for color
True False
________ is a protein normally produced by the kidneys that participates in red blood cell homeostasis.
A. Intrinsic factor B. Erythropoietin C. Transferrin D. Transcobalamin II