A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis. Which of the following statements by the guardian indicates an understanding of the teaching?
Explanation & Rationale
A. "I will expect my child to need annual sweat chloride testing." Incorrect. Sweat chloride testing is primarily used for diagnosing cystic fibrosis, not for routine annual monitoring. Once a diagnosis is confirmed, ongoing management focuses on nutritional support, respiratory care, and monitoring for complications.B. "I will have my child chew the pancrelipase medication before eating." Incorrect. Pancrelipase should not be chewed. It needs to be swallowed whole or sprinkled on acidic food to ensure proper absorption and to avoid irritation of the mouth and esophagus.C. "I will ensure that my child consumes a high-calorie diet." Correct. Children with cystic fibrosis often require a high-calorie diet due to malabsorption issues and the increased energy expenditure related to their condition. Ensuring adequate caloric intake helps with growth and overall health.D. "I will administer dornase alfa every 4 hours for wheezing." Incorrect. Dornase alfa (Pulmozyme) is usually administered once or twice daily to help thin mucus in the lungs. It is not typically used every 4 hours or specifically for wheezing.