Failure to Thrive (FTT) SKINNY Reasoning| ANSWER KEY

Failure to Thrive (FTT) SKINNY Reasoning Ben Potter, 4 months old Primary Concept Nutrition Interrelated Concepts (In order of emphasis) • Fluid and Electrolyte Balance • Clinical Judgment • Patient Education NCLEX Client Need Categories Percentage of Items from Each Category/Subcategory Covered in Case Study Safe and Effective Care Environment • Management of Care 17-23%  • Safety and Infection Control 9-15% Health Promotion and Maintenance 6-12%  Psychosocial Integrity 6-12%  Physiological Integrity • Basic Care and Comfort 6-12%  • Pharmacological and Parenteral Therapies 12-18%  • Reduction of Risk Potential 9-15%  • Physiological Adaptation 11-17%  SKINNY Reasoning Part I: Recognizing RELEVANT Clinical Data History of Present Problem: Ben Potter is a 4-month-old male presented to the pediatrician's office for a routine well-child exam. Ben is accompanied by his mother, Pamela, a 19-year-old single mother. Pamela appears visibly tired and reports that Ben has been getting up more frequently in the night, crying but refusing to eat. Pamela reports that over the past three weeks, Ben often refuses his formula feedings and reports episodes of gagging, arching his back, and frequent crying during and immediately following formula feedings. Pamela reports that she has interpreted this behavior as a sign that she is overfeeding Ben and has started watering down his Similac.