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 C
Explanation
A. "This is the safest and easiest way to administer this medication." While safety and ease are important, the primary reason for pulling the auricle down and back in toddlers is to properly align the ear canal for medication delivery, not just convenience or safety.
B. "When this technique is used, the toddler experiences less pain." Although proper technique can reduce discomfort, the main goal is to straighten the ear canal for better medication flow rather than directly reducing pain.
C. "This technique opens the ear canal, allowing medication to reach the inner ear region." Pulling the auricle down and back straightens the ear canal in toddlers and young children, which facilitates the medication’s access to the tympanic membrane and middle ear area, improving effectiveness.
D. "When this technique is used, the medication will not run out of the ear." Medication retention depends on administration and positioning after drops, but pulling the auricle down and back primarily helps open the canal.
Correct Answer is B
Explanation
Calculation:
Determine the recommended daily fluid maintenance for a baby weighing up to 10 kg.
- For the first 10 kg of body weight, the recommended fluid maintenance is 100 mL/kg/day.
Calculate the total daily fluid maintenance for the baby.
Total daily fluid maintenance (mL/day) = Weight (kg) × 100 mL/kg/day
= 8 kg × 100 mL/kg/day
= 800 mL/day.
Convert the total daily fluid maintenance to an hourly rate.
Fluid maintenance rate (mL/hr) = Total daily fluid maintenance (mL/day) / 24 hr/day
= 800 mL / 24 hr
= 33.333... mL/hr.
= 33.3 mL/hr.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.