A nurse is planning to collect data from an 11-month-old infant who has failure to thrive. Which of the following findings should the nurse expect?
Weight above the 10th percentile
Makes eye contact with others
Poor muscle tone
Stranger anxiety
The Correct Answer is C
A. Weight above the 10th percentile would not be expected in an infant with failure to thrive. Infants with failure to thrive typically exhibit weight below the 5th percentile due to insufficient caloric intake or absorption.
B. Making eye contact with others is a normal developmental milestone at 11 months and would not be expected to be impaired in a child with failure to thrive.
C. Poor muscle tone is a common finding in infants with failure to thrive, as malnutrition and inadequate nourishment can affect the development of muscle strength and coordination.
D. Stranger anxiety is a typical developmental stage at 11 months, but it is not associated with failure to thrive. Infants with failure to thrive may exhibit developmental delays, but stranger anxiety is not a primary concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Applying an ice collar helps reduce swelling and discomfort in the throat after a tonsillectomy. Cold therapy is effective in the early postoperative period to minimize bleeding and pain.
B. Using a straw should be avoided after a tonsillectomy because it may cause trauma to the surgical site and increase the risk of bleeding.
C. Coughing and deep breathing should be avoided after a tonsillectomy as they can cause irritation or dislodge the blood clots in the surgical site, leading to bleeding.
D. Providing cherry fruit juice is not ideal, as acidic or red-colored liquids can irritate the throat and may make it difficult to monitor for post-operative bleeding.
Correct Answer is D
Explanation
A. Antidiarrheal agents are generally avoided in cases of shigella infection, as they can slow the elimination of the bacteria and worsen the infection.
B. A diet high in sodium is not appropriate; instead, oral rehydration therapy (ORT) is recommended to replace fluids and electrolytes lost during diarrhea.
C. Shigella is a bacterial infection, not a viral one, so antiviral medications would not be effective. Antibiotics may be prescribed in some cases, but antivirals are not appropriate.
D. Oral rehydration therapy is crucial to prevent dehydration and restore lost fluids and electrolytes in children with diarrhea from shigella.
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