Certified Pediatric Nurse (CPN)

When should pancreatic enzymes be administered to a child with cystic fibrosis?

1. With meals and snacks

2. Only with fatty meals

3. At bedtime only

4. Only when symptoms worsen

The correct answer is: With meals and snacks

Pancreatic enzymes should be administered to a child with cystic fibrosis with meals and snacks to ensure proper digestion and nutrient absorption. Cystic fibrosis affects the pancreas' ability to produce enzymes necessary for digestion, particularly fats, proteins, and carbohydrates. By giving these enzymes when the child eats, it helps to mimic the natural digestive process and supports the breakdown of food in the intestines, preventing malnutrition and supporting growth. This timing is crucial, as it allows the child to effectively digest the food they consume and avoid gastrointestinal discomfort. In contrast, administering enzymes only with fatty meals, at bedtime, or only when symptoms worsen would not adequately support ongoing digestive health and could lead to complications such as poor nutritional intake and growth delays. Thus, regular administration with meals and snacks is the most effective approach for managing the digestive challenges associated with cystic fibrosis in children.