What is an appropriate nursing intervention for a child with failure to thrive?

Encouraging the child to be more physically active to increase calorie expenditure.

Provide education on growth and development. and parenting skills.

Restricting fluids to prevent excessive weight gain.

Encouraging the child to eat less to promote weight loss.

Answer and Explanation

The Correct Answer is B

A. Encouraging the child to be more physically active to increase calorie expenditure. – Incorrect. A child with failure to thrive (FTT) requires adequate caloric intake, and excessive activity could further contribute to weight loss.

B. Provide education on growth and development and parenting skills. – Correct. Many cases of FTT result from inadequate nutrition due to parental knowledge deficits. Educating parents on feeding techniques and child development helps promote growth.

C. Restricting fluids to prevent excessive weight gain. – Incorrect. FTT is characterized by inadequate weight gain, not excessive weight. Hydration is essential for overall health.

D. Encouraging the child to eat less to promote weight loss. – Incorrect. The goal of FTT management is to increase caloric intake to support proper growth and development.

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Correct Answer is ["50"]

Explanation

Calculate the total volume to be infused: 150 mL/hr.

Convert hours to minutes: 1 hour = 60 minutes.

Calculate the flow rate in mL/min: 150 mL/hr / 60 min/hr = 2.5 mL/min.

Apply the drop factor: 2.5 mL/min * 20 gtt/mL = 50 gtt/min.

A. Monitoring for tachycardia B. Observing for diaphoresis during feeding C. Monitoring for polyuria D. Checking for hyperthermia E. Assessing for hepatomegaly F. Evaluating feeding difficulties

Correct Answer is ["A","B","E","F"]

Explanation

A. Monitoring for tachycardia – Correct. Tachycardia is an early sign of heart failure as the heart attempts to compensate for decreased cardiac output.

B. Observing for diaphoresis during feeding – Correct. Infants with heart failure often exhibit sweating while feeding due to increased effort and oxygen demand.

C. Monitoring for polyuria – Incorrect. Infants with heart failure are more likely to have oliguria due to poor perfusion, not excessive urination.

D. Checking for hyperthermia – Incorrect. Fever is not a primary sign of heart failure unless an infection is present.

E. Assessing for hepatomegaly – Correct. Hepatomegaly occurs due to systemic venous congestion, a hallmark of right-sided heart failure.

F. Evaluating feeding difficulties – Correct. Poor feeding and failure to thrive are common in infants with heart failure due to fatigue and respiratory distress.

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What is an appropriate nursing intervention for a child with failure to thrive?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["50"]

Explanation

Which nursing assessments are important when evaluating an infant with heart failure? (Select All that Apply.)

Correct Answer is ["A","B","E","F"]

Explanation

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