Author Question: The nurse is assessing a 9-month-old infant during a well-child checkup. The infant is quiet, ... (Read 118 times)

folubunmi · **on:** Jun 25, 2018

The nurse is assessing a 9-month-old infant during a well-child checkup.

The infant is quiet, does not demonstrate much social interaction, and is small for age. The nurse plots the infant's height and weight on a growth chart and sees that the baby was in the 50th percentile for weight at age 6 months, and is now in the 5th percentile. Which condition does the nurse suspect?
1. Congestive heart failure.
2. Dehydration.
3. Undernutrition.
4. Hypoglycemia.

Question 2

A Bioelectrical Impedance Analysis (BIA) is being performed on a client. Which interventions will the nurse implement for this client?

Select all that apply.
1. Instruct the client to be NPO for 6 to 8 hours prior to the assessment.
2. Instruct the client to discontinue all vitamin and mineral supplementation for 24 hours prior to the assessment.
3. Instruct the client to lie in a supine position during the assessment.
4. Place electrodes on the dorsal surface of the client's foot.
5. Place electrodes on the dorsal surface of the client's hand.

triiciiaa · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3
Undernutrition, also called malnutrition, describes health effects of insufficient nutrient intake or stores. Children who drop at least 2 percentile bands are at risk for undernutrition. There are no indications the client has cardiac-health-related concerns. Hypoglycemia is not applicable in this situation.

Answer to Question 2

Correct Answer: 3, 4, 5

Bioelectrical impedance analysis (BIA) is a noninvasive tool for assessing body composition employing principles of electroconduction through water, muscle, and fat. In traditional BIA, electrodes are placed on the dorsal surfaces of the right foot and hand with the client in the supine position on a nonconductive surface. Calculations are based on the knowledge that muscle and fluids have a higher electrolyte and water content than does fat, and thus conduct electrical current differently. Altered hydration and altered skin temperature will cause measurement error by altering electrical current flow. Clients should be well hydrated when employing BIA technology, or dehydration will slow conductivity and give a falsely high body fat measurement. Clients cannot be placed as NPO status prior to the testing for 6 to 8 hours as this would alter the readings. The use of vitamin and mineral supplementation will not impact test findings.