Author Question: A six-year-old child has been newly diagnosed with cystic fibrosis. During discharge teaching, the ... (Read 59 times)

melly21297 · **on:** Jun 28, 2018

A six-year-old child has been newly diagnosed with cystic fibrosis. During discharge teaching, the nurse is instructing the parents on nutritional requirements specifically related to the child's decreased ability to absorb fats.

The nurse teaches the family that the child will need supplementation with vitamins that are fat soluble, such as: 1. Vitamin K.
2. Riboflavin.
3. Vitamin B12.
4. Thiamin.

Question 2

The recommendation for an infant's sleeping position is now back to sleep. Which nursing intervention is needed to prevent flattening of the occipital bones?

1. Allow the infant to sleep on his abdomen while an adult is present and observing the infant during sleep.

2. Wrap the occipital portion of the infant's head with an ace bandage for 20 minutes each day.

3. Alternate the head position from left to right during sleep.

4. Place an infant hat on the head of the infant during sleep for the first three months of life.

Chou · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

1
Rationale 1: Vitamin K is fat soluble, as are A, D, and E.
Rationale 2: Riboflavin, vitamin B12, and thiamin are all water-soluble vitamins, and their absorption is not related to availability of dietary fat.
Rationale 3: Riboflavin, vitamin B12, and thiamin are all water-soluble vitamins, and their absorption is not related to availability of dietary fat.
Rationale 4: Riboflavin, vitamin B12, and thiamin are all water-soluble vitamins, and their absorption is not related to availability of dietary fat.
Global Rationale:

Answer to Question 2

3

Rationale:

1. The infant should not be allowed to sleep on his abdomen even when observed.
2. It is not necessary to wrap the infant's occipital portion of the infant's head.
3. Changing the position of the infant's head while sleeping, especially during the first three months of life, will help alleviate the flattening of the occipital bone due to supine positioning during sleep.
4. An infant hat will not keep the occipital bones from flattening.