A nurse is assessing an 11-month-old infant, and notes that the infant's height and weight are at the 5th percentile on the growth chart; the infant was previously plotted at the 25th percentile
Psychosocial history reveals that the parents are separated and are planning to divorce. Which is the priority when planning this infant's care? 1. Parental anxiety
2. Risk for failure to thrive
3. Excessive nutritional intake
4. Risk for injury
2
Explanation:
1. While parental anxiety due to the situation may be occurring, this is not the priority when planning this infant's care.
2. This infant's growth curve indicates poor growth which places the infant at risk for failure to thrive.
3. Since height and weight are at the 5th percentile, there is no indication of increased nutritional intake.
4. While the infant may be at a risk for injury, the priority is risk for failure to thrive.
You might also like to view...
Several television programs, such as American Idol, allows viewers to text in votes for their favorite performer. From a research point of view, this is what kind of a design?
a. Survey b. Predictive design c. Model testing design d. One-group pretest-posttest design
The nurse is reviewing medications used for depression
Which of these statements is a reason that selective serotonin reuptake inhibitors (SSRIs) are more widely prescribed today than tricyclic antidepressants? a. SSRIs have fewer sexual side effects. b. Unlike tricyclic antidepressants, SSRIs do not have drug-food interactions. c. Tricyclic antidepressants cause serious cardiac dysrhythmias if an overdose occurs. d. SSRIs cause a therapeutic response faster than tricyclic antidepressants.
A parish nurse is evaluating health programs that provide holistic care across the life span. Which of the following methods would be the most appropriate approach?
a. Bringing families together to plan programs to meet the needs of individuals b. Establishing a wellness committee to assist in the evaluation process c. Matching financial resources with program objectives and goals d. Revisiting assessment data to be certain that planning reflects actual problems observed
The nurse is giving discharge instructions to the parents of a child whose adrenal glands have been removed due to a tumor. Which parental statement indicates the need for further education?
1. "I will call the doctor if my child has restlessness and confusion." 2. "If my child has any gastric irritation, I will give him antacids." 3. "If my child has vomiting and diarrhea, I will hold his hydrocortisone." 4. "I will give my child his hydrocortisone in the morning."