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1. A lung transplant does not cure CF, but the transplanted lungs do not contain the CF genes. Although the new lungs do not contain CF, the sinuses, pancreas, intestines, sweat glands, and reproductive tract do. The new lungs are more susceptible to infection because of the immunosuppressive therapy that must be given post-transplant. Immunosuppressive drugs make it difficult for the body to fight infection, which can lead to lung damage. 2. A lung transplant does not cure CF, but it does offer the client an opportunity to live a longer life. The concerns are that, after the lung transplant, the child is at risk for rejection of the new organ and for development of secondary infections because of the immunosuppressive therapy. 3. The lung transplant does not reverse the damage that has been done to the child ' s other organs, but it does offer a chance of a longer life. 4. The average life span of a client with CF has risen over the years with the daily regimens of CPT, exercise, medications, and highcalorie, high-protein diets. TEST-TAKING HINT: Answer 4 can be eliminated because of the word "only." There are very few times in health care when an answer will be "only." Answers 1 and 3 can be eliminated if the test taker has a basic knowledge of the pathophysiology of CF. 3 Clients with cystic fibrosis commonly die from respiratory problems. The mucus in the lungs is tenacious and difficult to expel, leading to lung infections and interference with oxygen and carbon dioxide exchange. The client will likely need supplemental oxygen and respiratory treatments to maintain adequate gas exchange, as identified by the oximeter reading. The child will be on bed rest due to respiratory distress. However, although blood gases will probably be prescribed, the oximeter readings will be used to determine oxygen deficit and are, therefore, more of a priority. A diet high in calories, proteins, and vitamins with pancreatic granules added to all foods ingested will increase nutrient absorption and help the malnutrition; however, this intervention is not the priority at this time. Inserting an IV to administer antibiotics is important, and can be done after ensuring adequate respiratory function. When teaching the parents of an older infant with cystic fibrosis CF about the type of diet the child should consume Which of the following would be most appropriate?For infants with CF under two years of age, the CF Foundation recommends human milk as the initial type of feeding. For infants with CF under two years of age, the CF Foundation recommends that if infants are fed formula, standard infant formulas (as opposed to hydrolyzed protein formulas) should be used.
What is the best diet for a child with cystic fibrosis?Children with CF may need 2,000-2,800 calories daily. It is important to remember that a balanced diet is vital for the whole family. This includes dairy products; grains and starches; fruits and vegetables; and proteins such as meat, poultry, fish, eggs and peanut butter.
What type of diet should the nurse teach the parents to give an older infant with cystic fibrosis?Diet. In general, a normal diet with additional energy and unrestricted fat intake is recommended; a high-energy and high-fat diet, in addition to supplemental vitamins (especially fat soluble) and minerals, is recommended to compensate for malabsorption and the increased energy demand of chronic inflammation.
Why do children with CF need a high calorie diet?A balanced diet is important for children with CF. Most will need to eat 20-50% more calories in their daily diet than those without CF because they do not absorb food as easily and the body uses more energy to function.
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When teaching the parents of an older infant with cystic fibrosis cf about the type of diet the child should consume Which of the following would be appropriate?
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