Which teaching topic is the priority for the nurse who is ...

[tichca]

Which teaching topic is the priority for the nurse who is teaching the family of an infant diagnosed with osteogenesis imperfecta?
 
  1. Cast care
  2. Trunk and extremity support during everyday care
  3. Postoperative spinal surgery care
  4. Traction care

Question 2

A 2-month-old infant is admitted to the hospital with a diagnosis of failure to thrive (FTT). Which possible causes for FTT will the nurse include in the infant's plan of care? Select all that apply.
 
  1. Overdilution of formula concentrate
  2. Parental neglect
  3. Rumination
  4. Malabsorption syndromes
  5. Pica

[shoemake]

Answer to Question 1

2
Explanation:
1. Traction, casts, and spinal surgery are not routinely done for osteogenesis imperfecta.
2. With osteogenesis imperfecta, nursing care focuses on preventing fractures. Because the bones are fragile, the entire body must be supported when the child is moved.
3. Traction, casts, and spinal surgery are not routinely done for osteogenesis imperfecta.
4. Traction, casts, and spinal surgery are not routinely done for osteogenesis imperfecta.

Answer to Question 2

1, 2, 3, 4
Explanation:
1. Adding too much water to formula concentrate will lead to inadequate caloric intake and could lead to a diagnosis of FTT.
2. Parental neglect should be evaluated in a baby who is not gaining weight adequately.
3. Rumination involves regurgitation of recently ingested food followed by rechewing and reswallowing. It is often associated with sensory deprivation and may result in growth failure.
4. Malabsorption syndromes, such as cystic fibrosis, can cause nutrients to be excreted instead of absorbed.
5. Pica is an eating disorder characterized by ingestion of nonfood items. It would not be an issue in a 2-month-old infant.