What clinical manifestation in a newborn would cause a nurse to suspect the diagnosis of tracheoesophageal fistula (TEF)?

An orogastric tube fails to pass at birth.

The infant has a low birth weight.

It is visually identified at the time of delivery.

Dry mouth and nares, little to no oral secretions at delivery.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. If an orogastric tube fails to pass, it may indicate a blockage or abnormal connection, such as a tracheoesophageal fistula.
Choice B reason: Low birth weight can be associated with many conditions and is not specific to TEF.
Choice C reason: TEF is not typically visible without special imaging or procedures; it cannot be visually identified at delivery.
Choice D reason: Dry mouth and nares with little to no oral secretions could indicate other conditions and are not specific to TEF. TEF often presents with excessive oral secretions.

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Correct Answer is C

Explanation

Choice A reason: Limiting green, leafy vegetables is not typically necessary for patients with liver disease and esophageal varices unless they are on anticoagulant therapy.
Choice B reason: While passive range of motion exercises are beneficial for maintaining joint mobility, they are not directly related to the prevention of hematemesis.
Choice C reason: This is the correct choice. Lifting heavy objects can increase abdominal pressure and the risk of bleeding from esophageal varices.
Choice D reason: Midodrine is a medication used to treat low blood pressure, not specifically for esophageal varices or hematemesis.

A. Calcium intake should be restricted. B. The child should eat three large meals per day and limit snacks between meals. C. Potassium intake should be limited. D. Sodium intake should be increased.

Correct Answer is C

Explanation

Choice A reason: Restricting calcium intake is not typically recommended for children with chronic renal failure as they may already be at risk for bone disease due to altered calcium metabolism.
Choice B reason: Eating three large meals per day and limiting snacks is not specific dietary advice for chronic renal failure; nutritional needs should be tailored to the individual.
Choice C reason: This is the correct choice. In chronic renal failure, the kidneys may not be able to remove excess potassium, leading to hyperkalemia, which can be dangerous.
Choice D reason: Increasing sodium intake is not generally recommended for chronic renal failure as it can contribute to hypertension and fluid retention.

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What clinical manifestation in a newborn would cause a nurse to suspect the diagnosis of tracheoesophageal fistula (TEF)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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