25.D: Failure to Thrive
The nurse is conducting an educational session for the staff about failure to thrive (FTT). Which type of family should the nurse identify as being at risk for this health problem? (Select all that apply.) A. Low-income B. Single-parent C. Abuse substances D. History of depression E. Has intellectual disability disorder
A, C, D, E
The nurse suspects an infant has failure to thrive (FTT). For which reason should the nurse anticipate this client being hospitalized? (Select all that apply.) A. Teach the caregivers how to identify physiologic hunger cues B. Protect the child from the caregivers C. Promote growth and development D. Provide adequate caloric and nutritional intake E. Assist in establishing a feeding routine
A, C, D, E
The nurse is teaching a caregiver about treatment for failure to thrive (FTT). Which statement made by the caregiver should indicate the need for further teaching? (Select all that apply.) A. "I hope my baby will not need surgery; that idea scares me." B. "Nutritional supplements will help meet the caloric requirements." C. "Medications are given daily to treat this condition." D. "I can monitor height and weight at home to see if any progress is being made between doctor visits." E. "Most babies do not sleep well anyway; my baby will sleep when she is tired."
A, C, E
Which statement should the nurse make that describes nonpharmacologic interventions for failure to thrive (FTT)? A. "Appropriate education for caregivers regarding nutrition is believed to reduce the incidence of FTT." B. "BMI should be explained to the patient." C. "The dining area should be examined for comfort." D. "Medications are believed to reduce the incidence of FTT among older adult patients."
A. "Appropriate education for caregivers regarding nutrition is believed to reduce the incidence of FTT."
The nurse is performing a health history for a child suspected of having failure to thrive (FTT). Which assessment should the nurse include related to the child's interaction pattern with their parent? A. Ability to be soothed B. Height and weight C. Head circumference D. Developmental milestones
A. Ability to be soothed
The nurse visits the home of a toddler with failure to thrive (FTT). Which outcome should indicate to the nurse that care has been effective? A. Good eye contact B. Sleeping on the sofa C. Having a temper tantrum D. Refusing to eat finger foods
A. Good eye contact
A 3-month-old baby is diagnosed with inorganic FTT. Which should the nurse expect to assess in this patient? A. Lack of eye contact B. Playfulness C. Fitful sleep D. Alertness
A. Lack of eye contact
A patient who is pregnant for the first time is concerned about gaining too much weight during the pregnancy. Which statement about pregnancy and delivery should the nurse associate to the assessment of failure to thrive (FTT) in an infant? A. Maternal lifestyle during pregnancy can impact FTT. B. Hormonal changes during pregnancy have little impact on FTT. C. Exercising more will prevent weight gain during pregnancy. D. The mother's BMI can impact FTT.
A. Maternal lifestyle during pregnancy can impact FTT.
The nurse is planning care for a newborn with a cleft palate. For which health problem should the nurse plan interventions for this client? A. Organic failure to thrive (OFTT) B. Nonorganic failure to thrive (NFTT) C. Sleep deprivation D. Colic
A. Organic failure to thrive (OFTT)
The nurse is planning care for a client with failure to thrive (FTT). Which goal should the nurse identify for this client? A. Parental understanding of the child's nutritional requirements B. Parental understanding of the child's stress and coping C. Parental understanding of the child's safety D. Parental understanding of the child's trauma prevention
A. Parental understanding of the child's nutritional requirements
The nurse is talking to the family of a child diagnosed with failure to thrive (FTT). Which intervention should the nurse use to address the family's psychosocial needs? A. Referring to community resources B. Maintaining a food diary C. Assessing weight D. Measuring height
A. Referring to community resources
The nurse is planning care for a client with failure to thrive (FTT). Which nonpharmacologic approach should the nurse consider for this client? (Select all that apply.) A. Removal from the home B. Detailed history and physical exam C. Nutritional supplements D. Hospitalization E. Assessing and educating a breastfeeding mother
B, C, D, E
The nurse evaluates teaching provided to a group of new parents on failure to thrive (FTT). Which statement should indicate to the nurse that teaching was effective? (Select all that apply.) A."Breastfed babies never develop FTT." B. "The majority of FTT cases are not related to a physical problem." C. "Misinterpreting hunger cues can lead to FTT." D. "Many people think all Asian children have FTT; the truth is they are just small and never get the disorder." E. "FTT can often be prevented by classes such as this one."
B, C, E
The nurse is teaching a new mother about infant care. Which should the nurse include to prevent the development of failure to thrive (FTT)? (Select all that apply.) A. Use of formula supplements B. Importance of touch C. Establishment of trust D. Expected development changes E. Auditory stimulation
B, C, E
The nurse visits the home to assess the baby of a new mother. Which observation should indicate to the nurse that the baby is at risk for failure to thrive (FTT)? A. Mother holds the baby throughout the visit. B. Mother delays feeding the baby. C. Mother rocks the baby after feeding. D. Mother prepares to breastfeed during the visit.
B. Mother delays feeding the baby.
A patient is diagnosed with failure to thrive (FTT). Which item should the nurse review prior to beginning the nursing assessment of this patient? A. Current activity level B. Percentiles on growth chart for previous visits C. Caregiver interactions with the child D. Height and weight for current visit
B. Percentiles on growth chart for previous visits
The nurse is providing care to a patient with failure to thrive (FTT). Which intervention should the nurse complete at each visit for this patient? A. Suggesting the use of herbal supplements B. Plotting weight on the growth chart C. Assessing entries in the food journal D. Referring the family to counseling
B. Plotting weight on the growth chart
The nurse is writing a plan of care for a client with failure to thrive (FTT). Which goal should the nurse make a priority for this client? A. The parent-child relationship will improve. B. The child will attain adequate growth and normal development. C. The child will sleep through the night. D. Complications from poor nutrition will be prevented.
B. The child will attain adequate growth and normal development.
The nurse is providing care for a patient diagnosed with failure to thrive (FTT). Which finding should the nurse identify that supports the diagnosis for this patient? A. The patient is above the 5th percentile for height on the standard growth chart. B. The patient experiences frequent diarrhea. C. The patient is below the 5th percentile for weight on the standardized growth chart. D. The patient has inadequate sleep.
C. The patient is below the 5th percentile for weight on the standardized growth chart.
The nurse is concerned about the number of pediatric patients with failure to thrive (FTT) in one community. Which action should the nurse take? A. Teach the proper method of tube feeding. B. Advocate for genetic testing. C. Insist caregivers feed only with breast milk. D. Educate infant caregivers.
D. Educate infant caregivers.
An 8-month-old baby with failure to thrive (FTT) is being discharged. Which goal should the nurse identify for this client? A. Adhere to a feeding schedule. B. Increase interaction with others. C. Increase activity. D. Improve nutritional intake.
D. Improve nutritional intake.
A 3-year-old child with failure to thrive (FTT) is having a 1-month follow-up assessment. Which should the nurse anticipate evaluating in this client? A. Appropriate use of support systems B. Improvement in socialization C. Achievement of food security D. Measurement of growth and development
D. Measurement of growth and development
The nurse assesses a baby who is not gaining weight, has poor eye contact, lacks anticipated stranger danger, and appears older than the chronological age. Which type of failure to thrive (FTT) should the nurse suspect in this baby? A. Organic B. Feeding C. Geriatric D. Nonorganic
D. Nonorganic
The nurse is providing care to a patient diagnosed with failure to thrive (FTT). The nurse anticipates which treatment to be prescribed? A. Proton pump inhibitors B. Beta blockers C. Formula feeding by gastric tube D. Nutritional supplements
D. Nutritional supplements
The nurse is planning a presentation for a group of expectant parents. Which suggestions should the nurse include to prevent the development of failure to thrive (FTT)? A. Avoiding comforting B. Limiting nap times C. Depriving of mothering D. Providing with touch, visual, and auditory stimulation
D. Providing with touch, visual, and auditory stimulation
The nurse completes an assessment of an infant with failure to thrive (FTT). Which data should the nurse record? (Select all that apply.) A. Percentile on the standard growth chart B. Activity level C. BMI D. Accurate measurement of height and weight E. Food preferences
A, B, C, D
Which observation should demonstrate an improved parent-child relationship after care for failure to thrive (FTT) has been implemented? A. The mother is able to soothe the child. B. The child is fidgety during cuddling. C. The child has poor eye contact during feeding. D. The mother is able to watch TV while feeding.
A. The mother is able to soothe the child.
The nurse is teaching an older adult patient strategies to help with geriatric failure to thrive (GFTT). Which statement should indicate to the nurse that teaching was effective? A. "I will go out more with my friends and have lunch with them." B. "I will refrain from snacking too much while watching TV." C. "I will refrain from drinking alcohol." D. "I will make sure I exercise daily."
C. "I will refrain from drinking alcohol."
The nurse is caring for a patient with Parkinson disease. Which reason should the nurse identify that increases this patient's risk for developing geriatric failure to thrive (GFTT)? A. Decrease in cognitive function B. Substance abuse C. Feeding difficulties D. Increased desire to exercise
C. Feeding difficulties
Most commonly describes a syndrome in which an infant falls below the 5th percentile for weight and height on a standard growth chart or is falling in percentiles on a growth chart
Failure to thrive
Condition in which older patients experience a multidimensional decline in physical functioning that is characterized by weight loss of more than 5% of baseline body weight, decreased appetite, undernutrition and dehydration, depression, and cognitive and immune impairment.
Geriatric failure to thrive (GFTT)
What is the most common cause of failure to thrive (FTT)?
Malnutrition
The nurse is identifying nursing diagnoses appropriate for an infant with failure to thrive (FTT). Which nursing diagnosis should the nurse eliminate from the plan of care? A. Nutrition, Imbalanced: Less than Body Requirements B. Activity, Increased C. Development: Delayed, Risk for D. Parenting, Impaired
B. Activity, Increased
