The nurse is caring for a newborn suspected to have esophageal atresia. Which of the following interventions must be the FIRST priority?

Place the child in low flow oxygen.

Place the infant in an isolette or radiant warmer.

Obtain a stat chest X-ray.

Elevate the head of the bed 30 to 35 degrees.

Answer and Explanation

The Correct Answer is D

Choice A rationale

While providing oxygen can be important in the care of a newborn with esophageal atresia, it is not the first priority. These babies often have difficulty breathing, but this is usually due to the abnormal connection between the esophagus and the trachea (tracheoesophageal fistula), which allows stomach acid to enter the lungs. Oxygen therapy alone does not address this underlying problem.

Choice B rationale

Placing the infant in an isolette or radiant warmer is not the first priority. While maintaining the baby’s body temperature is important, it does not address the immediate risks associated with esophageal atresia.

Choice C rationale

Obtaining a stat chest X-ray can be part of the diagnostic process for esophageal atresia, but it is not the first priority. The diagnosis is usually suspected based on symptoms such as frothy bubbles in the mouth and nose, coughing or choking when feeding, and difficulty breathing.

Choice D rationale

Elevating the head of the bed 30 to 35 degrees is the first priority. This position helps to prevent aspiration of gastric contents into the lungs, which can occur due to the abnormal connection between the esophagus and the trachea (tracheoesophageal fistula) that is often present in babies with esophageal atresia.

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

Explanation

Choice A rationale

Adding a school breakfast program is a crucial step in promoting health and wellness in schools. It ensures that all students, regardless of their socioeconomic status, start their day with a nutritious meal. This can improve their concentration, cognitive function, and academic performance.

Choice B rationale

Reducing saturated fat in the school lunch offering is another important measure. High intake of saturated fats is associated with increased risk of heart disease and obesity. By offering meals low in saturated fats, schools can help instill healthy eating habits in students.

Choice C rationale

Calorically sweetened beverages are not recommended for inclusion in school health and wellness programs. These beverages are high in sugar and can contribute to obesity, tooth decay, and other health problems.

Choice D rationale

Making fruits or vegetables available with all meals is a key part of a balanced diet. They provide essential vitamins, minerals, and dietary fiber, and their consumption can help prevent chronic diseases.

Choice E rationale

Offering after-school physical fitness activities can help students meet the recommended levels of physical activity, improve their physical fitness, and reduce the risk of obesity. These activities also provide opportunities for social interaction and skill development.

A. Keep plastic bags and plastic grocery bags in a secure place. B. Serve food in small pieces no larger than a cheerio. C. Lower the crib rails to the lowest level. D. Set the water heater to 65°C. E. Use plastic covers on all electrical outlets.

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

Explanation

The nurse should include the following information in the teaching about home safety for a 10- month-old infant:

Keep plastic bags and plastic grocery bags in a secure place. Plastic bags pose a choking hazard for young children who can easily put them over their heads and suffocate.
Serve food in small pieces no larger than a cheerio. This reduces the risk of choking, as infants have limited chewing ability and can easily swallow large pieces of food whole.

E. Use plastic covers on all electrical outlets. This prevents the infant from sticking fingers or objects into the outlet, which could lead to electrical shock.

However, the following information is incorrect and should not be included:

C. Lower the crib rails to the lowest level. While lowering the crib rails might seem convenient, it actually increases the risk of the infant climbing out and potentially falling and injuring themselves. Crib rails should be kept at the highest level possible once the infant can sit up on their own.

D. Set the water heater to 65°C (149°F). This temperature is scalding hot and can cause severe burns in infants. The recommended safe water heater temperature is 120°F (48.9°C) or lower to prevent accidental scalding.

Therefore, the correct selections are A, B, and E. The nurse should emphasize the importance of creating a safe environment for the infant by keeping choking hazards out of reach, serving food in appropriate sizes, and preventing access to electrical outlets. Additionally, the nurse should educate parents about the safe water heater temperature to avoid scalding risks.

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The nurse is caring for a newborn suspected to have esophageal atresia. Which of the following interventions must be the FIRST priority?

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Naxlex Comprehensive Predictor Exams

The school-based nurse is working with the local school district to promote health and wellness in a school with a large proportion of minority and underprivileged students.Which of the following will be included in the planning? Select all that apply.

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

Explanation

A nurse is teaching parents of a 10-month-old infant about home safety. Which of the following information should the nurse include in the teaching? Select all that apply.

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

Explanation

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