A nurse is preparing to teach the parents of a child who has cystic fibrosis. Which of the following instructions should the nurse plan to include?

A. Trim the fat from red meat prior to cooking: Children with cystic fibrosis (CF) require a high-calorie, high-fat diet due to malabsorption from pancreatic insufficiency. Trimming fat would reduce caloric intake and fat-soluble vitamin absorption, which is contraindicated in CF nutritional management. B. Give the child hot foods to reduce the sense of fullness: Food temperature does not significantly affect satiety or nutrient absorption in CF. The focus should be on calorie density and nutrient content rather than temperature, as energy needs are significantly increased in these children. C. Administer pancreatic enzymes 30 min after meals: Pancreatic enzyme replacement therapy should be given with meals or immediately before eating to optimize digestion of fats, proteins, and carbohydrates. Administering enzymes after meals would reduce nutrient absorption and worsen malnutrition. D. Provide a diet high in protein and calories: Children with CF have increased metabolic demands and impaired nutrient absorption, making a high-calorie, high-protein diet essential to support growth, maintain weight, and compensate for malabsorption.