Failure to Thrive

The nurse is providing care for a client diagnosed with failure to thrive​ (FTT). Which assessment finding supports the diagnosis for this​ client? Frequent diarrhea Being below the fifth percentile for weight on the standardized growth chart Lack of sleep Being above the fifth percentile for height on the standard growth chart

Correct! Being below the fifth percentile for weight on the standardized growth chart

The nurse is conducting an assessment for a child diagnosed with failure to thrive​ (FTT). Which​ parent-child interaction is not included in the nursing​ assessment? History of the pregnancy and birth Touching Eye contact Cuddling

Correct! History of the pregnancy and birth Rationale: The nurse would observe for eye​ contact, touching, and cuddling in the physical examination for​ parent-child interaction. The history of the pregnancy and birth is an appropriate assessment completed during the health history portion of the nursing assessment.

Which interaction pattern will the nurse include in the physical assessment of a client diagnosed with failure to thrive​ (FTT)? Developmental milestones Eye contact Identifying hunger cues Height and weight

Correct! Identifying hunger cues

The nurse is providing care to a client diagnosed with failure to thrive​ (FTT). Which nursing intervention item will the nurse include at each visit for this​ client? Assessing entries in the food journal Suggesting the use of herbal supplements Referring the family to counseling Correct! Plotting weight on the growth chart

Correct! Plotting weight on the growth chart Rationale: An appropriate nursing intervention at each visit for a client diagnosed with FTT is to plot the current weight on the growth chart. It is inappropriate for the nurse to suggest herbal supplements for this client. While family counseling may be​ needed, this is not an intervention that is completed during each visit. Assessing entries in the food journal should occur only if the child is not gaining weight.

A home care nurse is providing care to a client diagnosed with failure to thrive​ (FTT). Which interventions are appropriate for this client and​ family? ​(Select all that​ apply.) Providing community resources Observing the​ parent-child relationship in the home Suggesting breastfeeding as the primary means of nutrition Encouraging the use of a food diary Frequent growth and weight measurements

Correct! Providing community resources Correct! Observing the​ parent-child relationship in the home Correct! Encouraging the use of a food diary Correct! Frequent growth and weight measurements

The nurse educator of a pediatric medical-surgical unit is conducting an educational session for the nursing staff related to failure to thrive (FTT). The educator wants the staff to identify families who may be at risk of having children with FTT. Which populations will the educator include in the session? (Select all that apply.) Single parent homes Correct! Depression Correct! Mental retardation Correct! Substance abusers Low income status

Depression Mental retardation Substance abusers Rationale: Parents or caregivers who suffer from substance abuse, depression, and mental retardation are more likely to place a child at risk of FTT. Low-income status and single parent homes do not appear to be factors in failure to thrive.

The nurse educator is teaching a group of students about the risk factors associated with the diagnosis of failure to thrive​ (FTT). Which risk factor stated by the students indicates appropriate understanding of the lecture​ material? ​(Select all that​ apply.) Neurological disease Lactose intolerance Excessive caloric expenditure Esophageal reflux Inadequate calorie intake

Neurological disease Excessive caloric expenditure Esophageal reflux Inadequate calorie intake Rationale:Esophageal​ reflux, neurological​ disease, inadequate calorie​ intake, and excessive calorie expenditure can all contribute to FTT and indicate understanding of the lecture material. Lactose intolerance is not a cause of failure to thrive and would indicate that the student needs remediation.

The nurse is preparing to perform a nursing assessment of a client diagnosed with failure to thrive. Which item in the health history will the nurse assess prior to beginning the nursing assessment of this client? Caregiver interactions with the child Current activity level Percentiles on growth chart for previous visits Height and weight for current visit

Percentiles on growth chart for previous visits Rationale: Before beginning the assessment, the nurse would review the percentiles on the growth chart for the previous visits. The height and weight, current activity, and caregiver interactions are assessed during the physical examination of the current visit.

The nurse is providing care to the family of a child diagnosed with failure to thrive (FTT). Which intervention is aimed at thefamily 's psychosocial needs? Maintaining a food diary Assessing weight Referring the family to community resources Measuring height

Referring the family to community resources

Mrs. Barth is a new parent with a​ 6-month-old daughter, Madison. Madison is being seen for a​ 6-month well-child checkup. Mrs. Barth tells the nurse that she is concerned that​ Madison's height and weight are less than those of her​ neighbor's 6-month-old baby. Madison is in the top half of the fifth percentile for weight and height on the standard growth chart. Mrs. Barth is describing the​ baby's eating patterns and behavior. Which characteristic would the nurse recognize as a symptom of the feeding disorder called failure to thrive​ (FTT)? "Sometimes her bowel movements are​ liquid." ​"She often refuses a bottle and is difficult to​ comfort. ​ "She burps a lot after each​ feeding." ​"She is such a good sleeper. She can sleep six hours straight at​ night."

"She often refuses a bottle and is difficult to comfort" Rationale:Symptoms of a feeding disorder include refusing​ food, an erratic sleeping​ pattern, irritability, being difficult to​ comfort, and not meeting expected growth pattern. Gas and liquid stool are not attributed to failure to thrive.

The nurse is conducting a health history for a client diagnosed with failure to thrive​ (FTT). Which questions should the nurse include in the family assessment for a client diagnosed with​ FTT? ​(Select all that​ apply.) Do any of your other children have a history of feeding ​disorders? Which developmental milestones has your child ​accomplished? Did you have any problems during the ​pregnancy? How many diapers does your infant soil each ​day? Are there any stressors in your life that affect your interaction with your ​child?

Do any of your other children have a history of feeding ​disorders? Which developmental milestones has your child ​accomplished? Did you have any problems during the ​pregnancy? Are there any stressors in your life that affect your interaction with your ​child? Rationale: History of the pregnancy and​ birth, history of other children with feeding​ disorders, developmental​ milestones, and stressors are all important data to gather during the​ history-taking process. The number of soiled diapers is not essential to the family assessment.

The nurse is providing care to a client who is admitted for diagnostic testing for failure to thrive​ (FTT). Which diagnostic test does the nurse not anticipate for this​ client? Extensive blood studies Physical assessment Detailed history Comparison of height and weight to standard growth charts

Extensive blood studies Rationale: There are no definitive laboratory tests done to diagnose failure to thrive. Diagnosis is made on the basis of the​ history, physical​ exam, height,​ weight, and the client​'s behavior. The nurse would not anticipate extensive blood studies for this client.

Which nonpharmacologic therapies would be appropriate for a client with failure to thrive​ (FTT)? ​(Select all that​ apply.) Hospitalization Assessing and educating a breastfeeding mother Detailed history and physical exam Nutritional supplements Removal from the home

Hospitalization Assessing and educating a breastfeeding mother Detailed history and physical exam Nutritional supplements

Baby Jane and her parents are seen for a​ follow-up visit after being discharged from the hospital 3 days ago. Baby Jane was admitted to the hospital for failure to thrive​ (FTT). Which nursing diagnosis would not be appropriate for Baby Jane and her​ parents? Increased activity Imbalanced nutrition Impaired growth and development Altered parenting

Increased inactivity Rationale: Increased activity is not an appropriate nursing diagnosis for an infant diagnosed with FTT. Imbalanced​ nutrition, potential for enhanced​ knowledge, impaired growth and​ development, and altered parenting are all appropriate nursing diagnoses considering the recent hospital discharge.

What is geriatric failure to thrive​ (GFTT)? It is part of the normal aging process. Older adults are less active and require less caloric​ intake, so this condition is not considered a disorder. There is no disorder called geriatric failure to thrive. It is a disorder of undernutrition in an older adult.

It is a disorder of undernutrition in an older adult

The nurse is teaching a caregiver about treatment for failure to thrive (FTT). Which statements made by the caregiver indicate a need for further education? (Select all that apply.) Medications are given daily to treat this condition Most babies do not sleep well​ anyway; my baby will sleep when she is tired. Nutritional supplements will help meet the caloric requirements. I can monitor height and weight at home to see if any progress is being made between doctor visits. I hope my baby will not need​ surgery; that idea scares me.

Medications are given daily to treat this condition Most babies do not sleep well anyway; my baby will sleep when she is tired. I hope my baby will not need surgery; that idea scares me. Rationale: Treatment of FTT includes re-establishing eating and sleeping patterns for the client. Surgery is necessary only if an organic cause of FTT is identified. There are no medications used in the treatment of FTT. Monitoring height and weight to assess progress and providing nutritional supplements indicate appropriate understanding of treating FTT.

The nurse is providing care to​ Deanna, a​ 9-month-old infant diagnosed with failure to thrive​ (FTT). Deanna's parents are teenagers who lack knowledge regarding infant nutrition. A nursing diagnosis of potential for enhanced knowledge is the priority diagnosis for this family. Which nursing intervention is appropriate for the nurse to include in​ Deanna's plan of care for this priority nursing​ diagnosis? Teaching about the​ child's nutritional requirements Referring the client to a speech pathologist Assessing weight prior to discharge Demonstrating tube feedings

Teaching about the child's nutritional requirements Rationale:Teaching about the​ child's nutritional requirements The nursing diagnosis of potential for enhanced knowledge indicates that the parents will require education to provide appropriate nutrition to their child. Teaching the parents about​ Deanna's nutritional needs is an appropriate intervention for this plan of care. Weight would be assessed daily for a child with FTT. There is no indication of a need to refer the client to a speech pathologist or to demonstrate tube feedings.

The nurse is providing care for an older adult client who is diagnosed with failure to thrive (FTT). Which treatment is appropriate for the nurse to include in the discharge instructions for this client? Eating larger meals three times per day Providing foods recommended by the dietitian Teaching about the use of selective serotonin reuptake inhibitors​ (SSRIs) for​ depression, per order Teaching the family to prepare all the client​'s meals

Teaching about the use of selective serotonin reuptake inhibitors​ (SSRIs) for​ depression, per order Rationale: Older adult clients diagnosed with FTT may require teaching about SSRIs as a treatment method if the FTT is caused by depression. The client would be instructed to eat more small meals each day and to choose foods that the client enjoys. The nurse would assess the client​'s ability to prepare meals instead of teaching the family that all meals must be prepared for the client.

When would an infant diagnosed with failure to thrive​ (FTT) not require​ hospitalization? To protect the child from the caregivers To assist in establishing a feeding routine To promote growth and development To teach the caregivers how to identify physiological hunger cues

To protect the child from the caregivers