You are discussing failure to thrive (FTT) with medical students. You mention that FTT is most often used to describe malnutrition related to environmental or psychosocial causes. An important statement that should be included in your discussion is

Correct Answer: B

Rationale: Crossing percentile lines on a growth chart indicates a significant deviation from the child's previous growth trajectory, which is a key indicator of potential FTT.

Correct Answer: D

Rationale: Liver is the most common site of visceral involvement by hemangiomas.

Correct Answer: C

Rationale: Administering analgesics before removing chest tubes from a child is an important nursing consideration because the procedure may cause pain or discomfort. While it is ideal to minimize pain during and after the removal, it is essential to anticipate the possibility of discomfort and provide appropriate pain management to ensure the child's comfort and well-being. By administering analgesics before the procedure, nurses can help alleviate any potential pain and promote a more positive experience for the child.

Correct Answer: B

Rationale: Newborns with hypoglycemia and feeding intolerance typically require immediate treatment to rapidly raise their blood glucose levels. In such cases, the primary treatment is intravenous (IV) infusion of glucose because it provides a quick and direct source of glucose for the baby's body. IV glucose administration bypasses the need for digestion, making it the most effective way to increase blood sugar levels rapidly in newborns with feeding intolerance and hypoglycemia. It is crucial to monitor the baby's blood glucose levels closely during IV glucose infusion to ensure proper management.

Correct Answer: C

Rationale: Decreased cardiac output is a serious concern in clients with congestive heart failure. By assessing the apical heart rate before administering digitalis, the nurse can monitor the client's cardiac status and prevent possible complications such as digitalis toxicity. Digitalis is a medication commonly used to improve cardiac output in clients with heart failure, but it can also cause harm if given inappropriately, especially if the client's heart rate is already low. Monitoring the client's apical heart rate before giving digitalis helps ensure that the medication is safely administered and that the client's cardiac status is closely monitored. This intervention is crucial in the care of clients with congestive heart failure to optimize patient safety and outcomes.