The nurse is preparing a 2-year-old child with cystic fibrosis for discharge home. Which statement made by the parents suggests that additional education is necessary?

Choice A rationale A high-protein, high-calorie diet is crucial for children with cystic fibrosis due to malabsorption caused by pancreatic enzyme insufficiency. Supplementation with high-calorie formulas helps meet their increased metabolic demands and compensate for nutrient losses, supporting growth and development despite the exocrine pancreatic dysfunction. Choice B rationale This statement is incorrect. Pancreatic enzymes are essential for individuals with cystic fibrosis because the thick, viscous secretions block the pancreatic ducts, leading to malabsorption of fats, proteins, and fat-soluble vitamins. Even with a good appetite and regular bowel movements, enzyme supplementation is necessary to ensure proper nutrient absorption. Choice C rationale Chest physiotherapy (CPT) and postural drainage are vital components of cystic fibrosis management. These techniques help dislodge and clear thick mucus from the airways, reducing the risk of respiratory infections and improving lung function. Performing these therapies multiple times a day is a standard and necessary practice. Choice D rationale Regular physical activity, such as playing on swings and running, is beneficial for children with cystic fibrosis. Exercise helps mobilize respiratory secretions, improves lung function, and promotes overall well-being. It is an encouraged and enjoyable aspect of their daily routine, contributing to pulmonary hygiene.