Failure to Thrive
The nurse observes a new staff member completing a physical assessment of a client with failure to thrive (FTT). For which information should the nurse intervene? A. History of the pregnancy and birth B. Cuddling C. Touching D. Eye contact
A. History of the pregnancy and birth
The nurse is preparing a teaching tool for the staff at an assisted living facility. Which statement should the nurse use to describe geriatric failure to thrive (GFTT)? A. There is no disorder called geriatric failure to thrive. B. It is a disorder of undernutrition in an older adult. C. Older adults are less active and require less caloric intake. D. It is part of the normal aging process.
B. It is a disorder of undernutrition in an older adult.
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. Measurement of growth and development C. Improvement in socialization D. Achievement of food security
B. Measurement of growth and development
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. Complications from poor nutrition will be prevented. B. The child will sleep through the night. C. The child will attain adequate growth and normal development. D. The parent-child relationship will improve.
C. The child will attain adequate growth and normal development.
An older adult client recovering from influenza has a poor appetite 3 weeks later and is losing weight. Which goal should the nurse identify for this client? A. Assessing individual and family coping mechanisms B. Providing education about personal safety C. Preventing infection D. Gaining weight through improved nutrition
D. Gaining weight through improved nutrition
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 trauma prevention B. Parental understanding of the child's safety C. Parental understanding of the child's stress and coping D. Parental understanding of the child's nutritional requirements
D. Parental understanding of the child's nutritional requirements
The nurse is teaching an older adult client with geriatric failure to thrive (GFTT) about nutritional supplementation. Which supplemental vitamin should the nurse include in this teaching? A. Vitamin C B. Vitamin E C. Vitamin A D. Vitamin D
D. Vitamin D
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. "The majority of FTT cases are not related to a physical problem." B. "Many people think all Asian children have FTT; the truth is they are just small and never get the disorder." C. "FTT can often be prevented by classes such as this one." D. "Misinterpreting hunger cues can lead to FTT." E. "Breastfed babies never develop FTT."
A, C, D
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. Establishment of trust B. Auditory stimulation C. Importance of touch D. Expected development changes E. Use of formula supplements
A, B, C
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. Abuse substances B. History of depression C. Experience mental retardation D. Low-income E. Single-parent
A, B, C, D
The nurse completes an assessment of an infant with failure to thrive (FTT). Which data should the nurse record? (Select all that apply.) A. Accurate measurement of height and weight B. Percentile on the standard growth chart C. Activity level D. Food preferences E. BMI
A, B, C, E
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. Hospitalization B. Detailed history and physical exam C. Nutritional supplements D. Removal from the home E. Assessing and educating a breastfeeding mother
A, B, C, 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. "Most babies do not sleep well anyway; my baby will sleep when she is tired." C. "I can monitor height and weight at home to see if any progress is being made between doctor visits." D. "Medications are given daily to treat this condition." E. "Nutritional supplements will help meet the caloric requirements."
A, B, D
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. Provide adequate caloric and nutritional intake C. Protect the child from the caregivers D. Promote growth and development E. Assist in establishing a feeding routine
A, B, D, E
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. Having a temper tantrum B. Good eye contact C. Refusing to eat finger foods D. Sleeping on the sofa
B. Good eye contact
An 8-month-old baby with failure to thrive (FTT) is being discharged. Which goal should the nurse identify for this client? A. Increase activity. B. Improve nutritional intake. C. Adhere to a feeding schedule. D. Increase interaction with others.
B. Improve nutritional intake.
A client is diagnosed with geriatric failure to thrive (GFTT). Which finding should the nurse use to justify this diagnosis? A. Increased social interaction B. Weight loss of more than 5% of baseline body weight C. Weight loss of more than 15% of baseline body weight D. Increased homeostasis
B. Weight loss of more than 5% of baseline body weight
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. Parenting, Impaired D. Development: Delayed, Risk for
B. Activity, Increased
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. Nonorganic failure to thrive (NFTT) B. Sleep deprivation C. Organic failure to thrive (OFTT) D. Colic
C. Organic failure to thrive (OFTT)
The nurse is caring for an older adult client with geriatric failure to thrive (GFTT). Which direction should the nurse include in the discharge instructions for this client? A. Provide foods recommended by the dietitian. B. Teach the family to prepare all the client's meals. C. Teach about the use of selective serotonin re-uptake inhibitors (SSRIs) for depression. D. Eat larger meals 3 times per day.
C. Teach about the use of selective serotonin re-uptake inhibitors (SSRIs) for depression.