The nurse is evaluating the activity tolerance of a 9-month-old ...

[audragclark]

The nurse is evaluating the activity tolerance of a 9-month-old with iron-deficiency anemia. The finding that indicates the child is tolerating activity is:
 
  1. Tachycardia.
  2. Decreased alertness.
  3. Respiratory rate less than 50 with activity.
  4. Muscle weakness.

Question 2

The mother of a 2-year-old is concerned because her child does not seem interested in eating. The child is drinking about 56 cups of whole milk per day and 1 cup of fruit juice.
 
  When the weight-to-height percentile is calculated, the child is in the 9095th percentile. What would be the best advice for the nurse to give this mother? 1. Eliminate the fruit juice from the child's diet.
  2. Offer healthy snacks, presented in a creative manner, and let the child choose what she wants to eat without pressure from the parents.
  3. Change from whole milk to 2 milk and decrease milk consumption to 34 cups per day and the fruit juice to one-half cup per day, offering water if the child is still thirsty in between.
  4. Make sure that the child is getting adequate opportunities for exercise, as this will increase her appetite and help lower her weight-to-height percentile.

[voltaire123]

Answer to Question 1

3
Rationale:
1. Tachycardia is a sign that iron-deficiency anemia is not resolving and activity tolerance is not improving.
2. Decreased alertness is a sign that iron-deficiency anemia is not resolving and activity tolerance is not improving.
3. Iron-deficiency anemia can result in less oxygen reaching the cells and tissues, causing activity intolerance. An indication that a 9-month-old child is tolerating activity and iron-deficiency anemia is resolving would be maintaining a respiratory rate of less than 50 (within a normal range for this age) during activity.
4. Muscle weakness is a sign that iron-deficiency anemia is not resolving and activity tolerance is not improving.

Answer to Question 2

3
Rationale:
1. Toddlers require a maximum of about 1 liter of milk per day. This toddler is consuming most of her calories from the milk, and thus is not hungry. The high fat content of the milk and the high sugar content of the fruit juice also are contributing to the child's higher weight-to-height percentile. Decreasing the amount and fat content of the milk and decreasing the intake of fruit juice will decrease calories and make the child hungry for other foods. This answer is appropriate, but does not address the problem of excessive milk consumption
2. Toddlers require a maximum of about 1 liter of milk per day. This toddler is consuming most of her calories from the milk, and thus is not hungry. The high fat content of the milk and the high sugar content of the fruit juice also are contributing to the child's higher weight-to-height percentile. Decreasing the amount and fat content of the milk and decreasing the intake of fruit juice will decrease calories and make the child hungry for other foods. This answer is appropriate, but does not address the problem of excessive milk consumption
3. Toddlers require a maximum of about 1 liter of milk per day. This toddler is consuming most of her calories from the milk, and thus is not hungry. The high fat content of the milk and the high sugar content of the fruit juice also are contributing to the child's higher weight-to-height percentile. Decreasing the amount and fat content of the milk and decreasing the intake of fruit juice will decrease calories and make the child hungry for other foods. The other answers are appropriate, but do not address the problem of excessive milk consumption.
4. Toddlers require a maximum of about 1 liter of milk per day. This toddler is consuming most of her calories from the milk, and thus is not hungry. The high fat content of the milk and the high sugar content of the fruit juice also are contributing to the child's higher weight-to-height percentile. Decreasing the amount and fat content of the milk and decreasing the intake of fruit juice will decrease calories and make the child hungry for other foods. This answer is appropriate, but does not address the problem of excessive milk consumption

[audragclark]

Thanks for the timely response, appreciate it

[debra928]

Gracias!