nurse provides dietary teaching to guardian of school age child with cystic fibrosis which statements should nurse make

ATI RN

ATI Pediatric Proctored Exam

1. A nurse provides dietary teaching to the guardian of a school-age child with cystic fibrosis. Which statement should the nurse make?

A. You should offer your child high-protein meals and snacks throughout the day.
B. You should decrease your child's dietary fat intake to less than 10% of their caloric intake.
C. You should restrict your child's calorie intake to 1,200 per day.
D. You should give your child a multivitamin once weekly.

Correct answer: A

Rationale: The correct answer is A. High-protein meals and snacks are essential for children with cystic fibrosis due to their increased nutritional needs. Protein helps in maintaining muscle mass and overall health in individuals with cystic fibrosis, making it crucial to include in their diet. Choices B, C, and D are incorrect because decreasing dietary fat intake to less than 10% of caloric intake, restricting calorie intake to 1,200 per day, and giving a multivitamin once weekly are not appropriate dietary recommendations for a child with cystic fibrosis.

2. Why is the specific gravity for infants lower than for older children?

A. Infants have a greater body surface area.
B. Infants have a higher basal metabolic rate.
C. Infants have a greater percentage of body weight that is water.
D. Infants' kidneys are less able to concentrate urine.

Correct answer: D

Rationale: The correct answer is D because infants' kidneys are less developed compared to older children, making them less efficient at concentrating urine. This results in a lower specific gravity in infants. The other choices do not directly explain why the specific gravity is lower in infants.

3. Which statement is not a principle of family-centered care?

A. Respect family autonomy
B. Provide flexible services
C. Collaborate with family members
D. Set strict rules for families to follow

Correct answer: D

Rationale: Family-centered care focuses on respecting family autonomy, providing flexible services, and collaborating with family members to ensure individualized care. Imposing strict rules contradicts the core principles of family-centered care, which prioritize partnership, communication, and shared decision-making between healthcare providers and families. Therefore, setting strict rules for families to follow goes against the collaborative and individualized nature of family-centered care, making it the statement that is not a principle of this approach.

4. What side effect should the nurse include in the parent teaching for a child prescribed a baclofen pump for cerebral palsy?

A. Diarrhea
B. Hypertonia
C. Hypotonia
D. Restlessness

Correct answer: C

Rationale: When a child is prescribed a baclofen pump for cerebral palsy, one of the common side effects to include in parent teaching is hypotonia. Baclofen, a muscle relaxant, can lead to decreased muscle tone, resulting in hypotonia. It is important for parents to be aware of this potential side effect and know how to respond accordingly.

5. A client has a new diagnosis of celiac disease. Which of the following clinical manifestations should the nurse expect?

A. Steatorrhea
B. Projectile vomiting
C. Sunken abdomen
D. Weight gain

Correct answer: A

Rationale: Celiac disease is a condition where individuals are unable to digest gluten, leading to damage in the bowel cells and subsequent malabsorption. This malabsorption commonly presents with symptoms such as steatorrhea, which is characterized by foul-smelling, greasy, and bulky stools due to high fat content. Projectile vomiting and sunken abdomen are not typical manifestations of celiac disease. Weight gain is unlikely in individuals with celiac disease due to malabsorption and nutrient deficiencies. Therefore, the nurse should expect steatorrhea as a clinical manifestation in clients with celiac disease.