The nurse is caring for a neonate with a suspected tracheoesophageal fistula (TEF). Nursing care should include which of the following?
Elevating the head but give nothing by mouth
Elevating the head for feedings
Avoiding suction unless infant is cyanotic
Feeding glucose water only
The Correct Answer is A
When caring for a neonate with a suspected tracheoesophageal fistula (TEF), nursing care should include elevating the head but giving nothing by mouth. Tracheoesophageal fistula is a condition where an abnormal connection exists between the trachea and oesophagus, leading to the passage of air and secretions between these structures. Feeding the infant orally can result in aspiration of feedings into the lungs, which can cause respiratory distress and complications. Therefore, it is important to keep the neonate in an upright position to reduce the risk of aspiration until a definitive diagnosis and treatment plan are established.
elevating the head for feedings in (option B), is not appropriate in this case as oral feedings should be avoided until the tracheoesophageal fistula is addressed.
avoiding suction unless the infant is cyanotic in (option C), is not correct. Suctioning may be necessary in neonates with suspected tracheoesophageal fistula to clear secretions and maintain a patent airway.
feeding glucose water only in (option D), is not an appropriate intervention for a neonate with a suspected tracheoesophageal fistula. In this situation, all oral feedings should be withheld until further evaluation and management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The primary concern when it comes to a synthetic cast is to keep it dry during bathing or showering. Moisture can weaken the cast material and lead to skin irritation or infection. Therefore, covering the cast with plastic and waterproof tape helps to protect it from getting wet.
Applying a heating pad to the cast if the child has swelling in the affected extremity in (Option A) is incorrect because applying a heating pad to the cast can increase the risk of burns and is not recommended. If the child has swelling in the affected extremity, it is important to elevate the limb and follow any specific instructions provided by the healthcare provider.
Splitting the cast if the child complains of numbness or pain in (Option C) is also incorrect. Splitting the cast, or attempting to modify or adjust it, should not be done without medical supervision. If the child complains of numbness or pain, it is important to notify the healthcare provider for further evaluation and appropriate management.
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Wrapping the outer surface of the cast with an Ace bandage in (Option D) is incorrect as well. Wrapping the outer surface of the cast with an Ace bandage or any additional material is not recommended unless specifically instructed by the healthcare provider. It can affect the fit of the cast, alter the healing process, and potentially cause complications |
Correct Answer is B
Explanation
Thebehaviourdescribed,wherethechildappearstobestaringinto space,is characteristicof
B.Absenceseizures.
Absence seizures, also known as petit mal seizures, are a type of generalized seizure thatprimarily affects children. These seizures are brief and usually last for a few seconds. Duringan absence seizure, the child may appear to be staring blankly into space, unaware of theirsurroundings.Theymaynot respond to stimuli orengagein anypurposefulactivity.After theseizure ends, the child typically resumes their previous activity without any memory of theseizure.
Atonic seizures in (option A) is incorrect because it involves a sudden loss of muscle tone,leadingtoalimp or "drop"in theperson.
Simple partial seizures in (option C) are focal seizures that affect a specific region of thebrain,causinglocalizedsymptoms suchas twitchingor tinglinginaparticularbodypart.
Tonic-clonic seizures in (option D) also known as grand mal seizures, is incorrect because itinvolves a combination of muscle rigidity (tonic phase) and jerking movements (clonicphase).
Therefore, based on the description provided, the behaviour of staring into space ischaracteristic of B. Absence seizures. It is important for the child to be evaluated by ahealthcare professional for an accurate diagnosis and appropriate management of theirseizures.
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