A nurse is caring for an infant diagnosed with esophageal atresia ...

[stephzh]

A nurse is caring for an infant diagnosed with esophageal atresia (EA) and a tracheoesophageal fistula (TEF) prior to surgical correction. Which assessment finding indicates that a priority goal is being met?
 
  A.
  Airway patent with frequent suction
  B.
  Gavage feedings tolerated well
  C.
  Identification of support system by parents
  D.
  Temperature within normal range

Question 2

A pediatric clinic nurse teaches parents how to care for their toddler who has nasal congestion. What anatomical difference between children and adults is a concern with congestion in children?
 
  A.
  Children this age should not have congestion.
  B.
  Larger tonsils trap mucus, leading to gagging.
  C.
  The narrow trachea can become obstructed easily.
  D.
  Phlegm can migrate into the eustachian tubes.

[Kdiggy]

Answer to Question 1

ANS: A
All assessments indicate that goals for important nursing diagnoses have been met; however, airway takes priority. Maintaining a patent airway is the most important goal.

Answer to Question 2

ANS: C
Excess mucus production can lead to airway obstruction in children due to the narrowed lumen size of their tracheas.