A nurse should plan to implement which interventions for a child admitted with inorganic failure to thrive? Select all that apply
a. Observation of parent-child interactions
b. Assignment of different nurses to care for the child from day to day
c. Use of 28 calorie per ounce concentrated formulas
d. Administration of daily multivitamin supplements
e. Role modeling appropriate adult-child interactions
A, D, E
Feedback
Correct The nurse should plan to assess parent-child interactions when a child is
admitted for nonorganic failure to thrive. The observations should include
how the child is held and fed, how eye contact is initiated and maintained,
and the facial expressions of both the child and the caregiver during
interactions. Role modeling and teaching appropriate adult-child
interactions (including holding, touching, and feeding the child) will
facilitate appropriate parent-child relationships, enhance parents'
confidence in caring for their child, and facilitate expression by the parents
of realistic expectations based on the child's developmental needs. Daily
multivitamin supplements with minerals are often prescribed to ensure that
specific nutritional deficiencies do not occur in the course of rapid growth.
The nursing staff assigned to care for the child should be consistent.
Incorrect Providing a consistent caregiver from the nursing staff increases trust and
provides the child with an adult who anticipates his or her needs and who
is able to role model child care to the parent. Caloric enrichment of food is
essential, and formula may be concentrated in titrated amounts up to
24 calories per ounce. Greater concentrations can lead to diarrhea and
dehydration.
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