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 D
Explanation
a) Hyperthermia: Hyponatremia can disrupt temperature regulation, but it doesn't typically cause hyperthermia directly.
b) Respiratory distress: While severe cases might cause neurological issues affecting breathing, it's not the primary concern in hyponatremia.
c) Bradycardia: Though possible due to neurological complications, it's not the primary issue to anticipate in hyponatremia.
d) Seizure: Hyponatremia significantly affects brain function due to electrolyte imbalance, predisposing the child to seizures.
Correct Answer is E,A,C,D,B
Explanation
1. Prepare for intubation
2. Notify the physician
3. Start an IV
4. Draw blood gasses
5. Take the child's vital signs
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