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 restrict the amount of salt in our child’s food.”
B.
I will limit my child’s fluid intake.”
C.
“I will prepare low-fat meals with limited protein for my child.”
D.
“We will give our child pancreatic enzymes with snacks and meals.”
The correct answer and Explanation is :
The correct answer is D. “We will give our child pancreatic enzymes with snacks and meals.”
Explanation:
Cystic fibrosis (CF) is a genetic disorder that affects the lungs and digestive system. One of the main issues in CF is the production of thick, sticky mucus that can block the ducts in the pancreas. This blockage prevents digestive enzymes from reaching the small intestine, which impairs digestion and nutrient absorption. As a result, children with CF often require pancreatic enzyme replacement therapy to aid in digestion and ensure proper nutrient absorption.
Pancreatic Enzymes:
Children with CF usually need to take pancreatic enzyme supplements with every meal and snack. These enzymes help break down fats, proteins, and carbohydrates, enabling the body to absorb essential nutrients effectively. Without these enzymes, children may experience poor growth, malnutrition, and gastrointestinal issues.
Why Other Options Are Incorrect:
- A. “We will restrict the amount of salt in our child’s food.”
This is incorrect because individuals with CF actually have higher salt needs. Due to excessive salt loss in sweat, they may require additional salt in their diet to help maintain electrolyte balance. - B. “I will limit my child’s fluid intake.”
This is incorrect because adequate hydration is crucial for children with CF. Increased fluid intake helps thin the mucus, making it easier to clear from the lungs and improving overall respiratory function. - C. “I will prepare low-fat meals with limited protein for my child.”
This is incorrect because children with CF often need higher amounts of fat and protein due to increased energy requirements and malabsorption issues. Their diet typically includes high-calorie, high-fat foods to support proper growth and weight maintenance.
In summary, administering pancreatic enzymes with each meal and snack is crucial for managing CF and ensuring the child absorbs the nutrients needed for healthy growth and development.