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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Constant parental supervision is needed to avoid overexertion: While supervision is important, restricting all activities might limit the child's development.
b) The child needs opportunities to play with others: Encouraging social interaction and play with peers is crucial for the child's social and emotional development.
c) The parents can have the child make video calls with friends instead of playdates: Video calls can supplement but should not entirely replace physical play and interaction.
d) The child needs to understand that peers’ activities are too strenuous: This response might unnecessarily limit the child's participation in normal activities without considering their abilities and limitations.
Correct Answer is D
Explanation
a) Cherry jello: Red or colored foods may be mistaken for bleeding post-tonsillectomy, so they are typically avoided initially.
b) Lemonade: Citrus or acidic beverages may irritate the throat post-surgery.
c) Mandarin oranges: Similarly, acidic fruits can cause irritation to the healing throat.
d) Applesauce: It's a smooth and non-irritating option that's commonly recommended post-tonsillectomy as it's gentle on the throat and easy to swallow.
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