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

Answer and Explanation

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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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.

A. High fever B. Nausea and vomiting C. Abdominal pain D. Abdominal distension E. Costovertebral angle tenderness

Correct Answer is ["A","B","C","E"]

Explanation

a) High fever: Commonly associated with upper urinary tract infections such as pyelonephritis.

b) Nausea and vomiting: These symptoms often accompany pyelonephritis due to the systemic inflammatory response.

c) Abdominal pain: It's a common symptom of pyelonephritis due to the kidney involvement.

d) Abdominal distension: This symptom is less typically associated with pyelonephritis.

e) Costovertebral angle tenderness: Often present in pyelonephritis due to kidney inflammation.

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An infant has been born with an esophageal atresia and tracheoesophageal fistula. What is the priority preoperative nursing diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The teacher reports to the nurse that, despite adequate intelligence, a child is not performing well in school. The nurse’s initial assessments would include:

Correct Answer is C

Explanation

A 14 year old female presents to the clinic with possible upper UTI (pyelonephritis). What symptoms would you expect to see with this diagnosis?

Correct Answer is ["A","B","C","E"]

Explanation

A nurse delegates the task of neonatal vital sign assessment to a nurse technician. Which instruction will the nurse give to the technician prior to assigning care?

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