A nurse is assessing a child who has failure to thrive. Which of the following findings should the nurse expect?
Slow heart rate
Low body weight
Hyperactive behavior
Repetitive movements
The Correct Answer is B
A. Slow heart rate: Failure to thrive (FTT) typically does not cause a slow heart rate. In fact, a child who is significantly underweight and malnourished due to failure to thrive might have a normal or even slightly elevated heart rate as their body tries to compensate for inadequate energy intake.
B. Low body weight: A hallmark of FTT is inadequate weight gain or significant weight loss, which manifests most commonly as a significantly low body weight for age, or a weight that falls below the 3rd or 5th percentile on growth charts, or a deceleration in growth velocity.
C. Hyperactive behavior: FTT is often associated with lethargy or decreased activity rather than hyperactivity due to their poor nutritional status and lack of energy. Hyperactivity is more commonly associated with other conditions such as ADHD.
D. Repetitive movements: Repetitive movements are not characteristic findings of FTT and may suggest other developmental or neurological issues. Failure to thrive is primarily a growth and nutritional disorder, and while it can coexist with other conditions, repetitive movements are not a core symptom.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Erikson's stage of initiative versus guilt: This stage typically occurs during the preschool years (ages 3 to 6), when children begin initiating activities and asserting control through social interactions and play.
B. Demonstrations of sexual curiosity: Although some curiosity may occur, pronounced sexual curiosity is more typical during the preschool years, not the toddler stage, and it is not a hallmark of toddler psychosocial development.
C. Imaginary playmates: Imaginary friends commonly appear in preschool-aged children (around 3 to 6 years of age) and are part of normal imaginative development, not characteristic of toddlers.
D. Negative behaviors characterized by the need for autonomy: Toddlers are in Erikson’s stage of autonomy vs. shame and doubt. They frequently exhibit negativism (e.g., saying "no") as a means of asserting independence and developing a sense of autonomy.
Correct Answer is B
Explanation
Calculate the total daily dose in milligrams (mg).
Total daily dose (mg) = Prescribed dose (mg/kg/day) × Weight (kg)
= 50 mg/kg/day × 22 kg
= 1100 mg/day.
Determine the number of doses per day:
Doses are given every 8 hours, so Number of doses per day = 24 hours / 8 hours
= 3 doses/day.
Calculate the dose per administration in milligrams (mg).
Dose per administration (mg) = Total daily dose (mg) / Number of doses per day
= 1100 mg / 3 doses
= 366.666 mg.
Available concentration of the amoxicillin suspension:
= 125 mg / 5 mL.
Calculate the volume in milliliters (mL) to administer for each dose.
Volume per dose (mL) = Desired dose per administration (mg) / (Available concentration (mg) / Available volume (mL))
Volume per dose (mL) = 366.666 mg / (125 mg / 5 mL)
= 366.666 mg × (5 mL / 125 mg)
= (366.666 × 5) / 125 mL
= 1833.33 / 125 mL
= 14.666 mL.
=14. 67 mL
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