the nurse is preparing to feed a 10 month old child diagnosed with failure to thrive ftt which actions should the nurse plan to implement

ATI RN

RN Nursing Care of Children Online Practice 2019 A

1. The nurse is preparing to feed a 10-month-old child diagnosed with failure to thrive (FTT). Which actions should the nurse plan to implement?

A. Be persistent.
B. Introduce new foods slowly.
C. All are correct
D. Maintain a calm, even temperament.

Correct answer: C

Rationale: Persistence in feeding, introducing new foods slowly, and maintaining a calm temperament are key strategies in managing FTT. A stimulating atmosphere may overwhelm the child and should be minimized during feeding times.

2. Which condition is characterized by a harsh, barking cough in children?

A. Asthma
B. Bronchiolitis
C. Croup
D. Pneumonia

Correct answer: C

Rationale: Croup is the correct answer. It is characterized by a harsh, barking cough due to inflammation of the upper airways, specifically the larynx and trachea. Asthma (Choice A) often presents with wheezing and shortness of breath, not a barking cough. Bronchiolitis (Choice B) typically causes wheezing and respiratory distress in infants. Pneumonia (Choice D) manifests with symptoms such as fever, productive cough, and chest pain, but not usually a barking cough.

3. Parents of a preschool child ask the nurse, "Should we set rules for our child as part of a discipline plan?" Which is an accurate response by the nurse?

A. It is best to delay the punishment if a rule is broken.
B. The child is too young for rules. At this age, unrestricted freedom is best.
C. It is best to set the rules and reason with the child when the rules are broken.
D. Set clear and reasonable rules and expect the same behavior regardless of the circumstances.

Correct answer: D

Rationale: Clear and reasonable rules provide structure and help children understand expectations, promoting consistent behavior and discipline.

4. Clinical manifestations of sodium excess (hypernatremia) include which signs or symptoms?

A. Hyperreflexia
B. Abdominal cramps
C. Cardiac dysrhythmias
D. Dry, sticky mucous membranes

Correct answer: D

Rationale: Hypernatremia often presents with dry, sticky mucous membranes due to dehydration. Hyperreflexia and abdominal cramps may also occur, but dry mucous membranes are more consistently observed in cases of sodium excess.