An infant has been born with an esophageal atresia and tracheoesophageal fistula. What is the priority preoperative nursing diagnosis?
Risk for aspiration related to regurgitation
Acute pain related to esophageal defect
Ineffective tissue perfusion gastrointestinal related to decreased circulation
Ineffective feeding pattern related to uncoordinated suck and swallow
The Correct Answer is A
a) Risk for aspiration related to regurgitation: With esophageal atresia and tracheoesophageal fistula, the risk of aspiration due to the abnormal connection between the trachea and esophagus is a significant concern. Preventing aspiration is a priority.
b) Acute pain related to esophageal defect: Pain might be present but managing the risk of aspiration is more immediate.
c) Ineffective tissue perfusion gastrointestinal related to decreased circulation: While important, preventing aspiration takes precedence.
d) Ineffective feeding pattern related to uncoordinated suck and swallow: A valid concern but not as critical as the risk of aspiration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a) Weight should triple by 6 months of age: Typically, a newborn's birth weight should double by around 4 to 6 months of age and triple by approximately 12 months (1 year).
b) Weight should double by 4 months of age: Doubling the birth weight by 4 months is too rapid for healthy growth.
c) Weight should double by 1 year of age: Weight doubling usually occurs by 6 months of age. By 1 year of age, a baby's weight is expected to be about three times their birth weight.
d) Weight should triple by 1 year of age: By the end of the first year, a baby’s weight typically triples from their birth weight, which is a standard growth milestone.
Correct Answer is C
Explanation
a) Observing the child in the classroom to see interactions between the child and others: Useful for gathering information but not an initial assessment that might directly relate to the child's performance issues.
b) Determine if there is conflict between the child and the teacher: Conflict might contribute, but initial assessments should focus on other potential factors.
c) Conducting a vision and hearing screening: Sensory impairments can significantly impact a child's academic performance and are important to rule out initially.
d) Talking with the child to determine if there are family stressors such as divorce interfering with the child's performance: Valuable but might not be the first step in assessing academic performance issues.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.