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 A

Explanation

a) Projectile vomiting: A hallmark symptom of pyloric stenosis due to the narrowing of the pyloric sphincter, leading to forceful and projectile vomiting.

b) Watery diarrhea: Not typically associated with pyloric stenosis.

c) Increased urine output: Unrelated to pyloric stenosis, urinary output might vary based on other factors.

d) Bloody stools: Typically not a primary symptom of pyloric stenosis, which primarily affects the passage of food from the stomach.

A. Handwashing is the most important factor in reducing the spread of the virus B. We understand that early treatments with gamma-globulins can help our child C. We will clean contaminated surfaces with bleach D. We should feed our child a high-fat diet

Correct Answer is D

Explanation

a) Handwashing is the most important factor in reducing the spread of the virus: Correct, hand hygiene is crucial in preventing the transmission of Hepatitis A.

b) We understand that early treatments with gamma-globulins can help our child: Correct, gamma-globulin treatment can offer passive immunity.

c) We will clean contaminated surfaces with bleach: Correct, using bleach is effective in disinfecting contaminated surfaces.

d) We should feed our child a high-fat diet: Hepatitis A does not require a high-fat diet. In fact, a low-fat diet is often recommended during the acute phase of the illness to reduce stress on the liver. This statement indicates a need for further education.

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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

Expected symptoms in an infant with pyloric stenosis:

Correct Answer is A

Explanation

The nurse is teaching the parents of a child diagnosed with Hepatitis A about care and prevention of transmission. Which of the following statements by the parents indicate more education is needed?

Correct Answer is D

Explanation

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