A nurse is providing discharge teaching for a child who has cystic fibrosis. Which of the following should the nurse include?

Choice A reason: Fluid restriction is contraindicated in cystic fibrosis. These children are prone to dehydration due to excessive salt loss in sweat. Adequate hydration is essential, especially during infections. Choice B reason: Physical activity is encouraged in children with cystic fibrosis as it helps improve lung function, mobilize secretions, and enhance overall well-being. Restriction is not recommended unless medically indicated. Choice C reason: Pancreatic enzyme replacement is critical in cystic fibrosis due to pancreatic insufficiency. Enzymes must be taken with all meals and snacks to aid digestion and nutrient absorption. This is a cornerstone of nutritional management. Choice D reason: Children with cystic fibrosis require high-calorie, high-protein diets to meet increased metabolic demands and support growth. A low-calorie, low-protein diet would be inappropriate and harmful.