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 D

Explanation

A. Requires immediate assessment by a medical provider. – Incorrect. Most cases can be managed at home with barrier creams and frequent diaper changes.

B. Is always associated with an infection. – Incorrect. While infections can occur, diaper dermatitis is often due to moisture and irritation.

C. Causes significant long-term impacts. – Incorrect. Diaper rash typically resolves quickly with proper care.

D. Responds to prompt treatment. – Correct. Keeping the area clean, dry, and applying barrier ointments effectively treats diaper dermatitis.

Correct Answer is ["70"]

Explanation

The nurse should withhold digoxin if the child's apical heart rate is less than 70 beats per minute because digoxin slows the conduction of electrical signals in the heart and increases the force of cardiac contraction. While this helps to treat conditions like heart failure and arrhythmias, it can also lead to bradycardia. Administering digoxin when the heart rate is already too low increases the risk of adverse effects like severe bradycardia or even cardiac arrest.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a caregiver of a pediatric client about diaper dermatitis. Which of the following statements should the nurse make? "Diaper dermatitis:

Correct Answer is D

Explanation

A nurse is preparing to administer digoxin to a 12 year-old child. Prior to administering the dose. the nurse measures the apical heart rate. The nurse should withhold the dose if the child's apical heart rate is less than what rate?

Correct Answer is ["70"]

Explanation

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