Author Question: The nurse, assessing a baby who is in the immediate postoperative period after a surgical repair of ... (Read 94 times)

anshika

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The nurse, assessing a baby who is in the immediate postoperative period after a surgical repair of an esophageal atresia with tracheoesophageal fistula, is observing for early signs of airway obstruction.
 
  In addition to abnormal breath sounds, what would the nurse find if the baby begins to have airway obstruction? a. anxious expression and tachypnea
  b. high-pitched cry and slowed respirations
  c. loss of consciousness and turning blue
  d. clutching the air and crying loudly

Question 2

The nurse is caring for a baby who has just had a surgical repair of an esophageal atresia with tracheoesophageal fistula. It is most important for the nurse to position the gastrostomy tube in which of the following ways?
 
  a. pinned to the bed sheet c. even with the bed
  b. elevated d. lowered



babybsemail

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Answer to Question 1

A

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A Correct. Early signs of airway obstruction include abnormal breath sounds, an anxious expression on the infant's face, and tachypnea.
B Incorrect. Early signs of airway obstruction include abnormal breath sounds but not a high-pitched cry and slowed respirations.
C Incorrect. Early signs of airway obstruction include abnormal breath sounds but not loss of consciousness and turning blue. These would be late signs of airway obstruction.
D Incorrect. Early signs of airway obstruction include abnormal breath sounds but not clutching the air and crying loudly.

Answer to Question 2

B

Feedback
A Incorrect. The nurse would not pin the gastrostomy tube to the bed sheet.
B Correct. The nurse is caring for a baby who has just had a surgical repair of an esophageal atresia with tracheoesophageal fistula. It is most important for the nurse to elevate the gastrostomy tube to allow gastric secretions to flow into the small intestine and air to escape. This position promotes comfort and decreases the risk of leakage at the anastomosis.
C Incorrect. The nurse would not position the gastrostomy tube even with the bed.
D Incorrect. The nurse would not position the gastrostomy tube in a lowered position.



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