Podcast
Questions and Answers
What nursing intervention will the nurse include at each visit for a client diagnosed with failure to thrive (FTT)?
What nursing intervention will the nurse include at each visit for a client diagnosed with failure to thrive (FTT)?
Plotting weight on the growth chart
Which assessment finding supports the diagnosis of failure to thrive (FTT) in a client?
Which assessment finding supports the diagnosis of failure to thrive (FTT) in a client?
Being below the fifth percentile for weight on the standardized growth chart
Which interventions are appropriate for a client diagnosed with failure to thrive (FTT)? (Select all that apply)
Which interventions are appropriate for a client diagnosed with failure to thrive (FTT)? (Select all that apply)
- Observing the parent-child relationship in the home (correct)
- Suggesting breastfeeding as the primary means of nutrition
- Frequent growth and weight measurements (correct)
- Encouraging the use of a food diary (correct)
- Providing community resources (correct)
Which diagnostic test does the nurse not anticipate for a client diagnosed with failure to thrive (FTT)?
Which diagnostic test does the nurse not anticipate for a client diagnosed with failure to thrive (FTT)?
Which risk factors are associated with the diagnosis of failure to thrive (FTT)? (Select all that apply)
Which risk factors are associated with the diagnosis of failure to thrive (FTT)? (Select all that apply)
Which statements by the family indicate appropriate understanding regarding treatment options and goals for failure to thrive (FTT)? (Select all that apply)
Which statements by the family indicate appropriate understanding regarding treatment options and goals for failure to thrive (FTT)? (Select all that apply)
Which questions should the nurse include in the family assessment for a client diagnosed with failure to thrive (FTT)? (Select all that apply)
Which questions should the nurse include in the family assessment for a client diagnosed with failure to thrive (FTT)? (Select all that apply)
Which parent-child interaction is not included in the nursing assessment?
Which parent-child interaction is not included in the nursing assessment?
What is failure to thrive?
What is failure to thrive?
What does geriatric failure to thrive refer to?
What does geriatric failure to thrive refer to?
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Study Notes
Failure to Thrive (FTT) Overview
- FTT occurs when an infant falls below the fifth percentile for weight and height on a standardized growth chart.
- Accounts for 1-5% of pediatric hospitalizations in children under one year old.
Nursing Interventions
- Key nursing intervention includes plotting weight on the growth chart at each visit to monitor progress.
- Additional interventions involve observing the parent-child relationship and encouraging the use of a food diary.
Diagnostic Assessment
- In diagnosing FTT, extensive blood studies are not typically anticipated.
- Comprehensive assessments typically include a detailed history, physical evaluation, and growth comparisons.
Risk Factors for FTT
- Common risk factors include:
- Neurological diseases
- Inadequate calorie intake
- Excessive caloric expenditure
- Esophageal reflux
- Lactose intolerance is not a primary risk factor for FTT.
Family Education and Understanding
- Families should understand that no medication exists for FTT, and nutritional supplements are essential for restoring nutrients.
- Families require ongoing blood work to assess nutritional adequacy and growth improvement, targeting at least the tenth percentile on growth charts.
Health History Considerations
- Important questions to include in family assessments are:
- Any pregnancy complications
- Stressors affecting interactions with the child
- History of feeding disorders in siblings
Parent-Child Interaction Assessment
- Interactions such as touching, eye contact, and cuddling are critical elements of assessment.
- Historical aspects of pregnancy and birth, however, are not typically included in immediate parent-child interaction analysis.
Geriatric Failure to Thrive
- Geriatric FTT characterizes older adults with similar undernourishment and care challenges, requiring tailored assessments and interventions.
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