What is the priority nursing intervention for a newborn infant diagnosed with transposition of the great vessels?

Preparing the infant for immediate surgery

Initiating feeding through a nasogastric tube

Administering oxygen via nasal cannula

Administer prostaglandin E1 (PGE1) to maintain patency of the ductus arteriosus

Answer and Explanation

The Correct Answer is D

A. Preparing for immediate surgery is necessary, but the priority intervention is to ensure adequate oxygenation and blood flow through the ductus arteriosus before surgery can be performed.

B. Initiating feeding through a nasogastric tube is not a priority for an infant with this condition, as their immediate need is to address the circulatory issue rather than feeding.

C. Administering oxygen via nasal cannula may provide some relief but is not sufficient as a standalone intervention for transposition of the great vessels, which requires maintaining ductal patency to allow mixing of oxygenated and deoxygenated blood.

D. Administering prostaglandin E1 (PGE1) is the priority intervention, as it helps maintain patency of the ductus arteriosus, allowing for temporary stabilization of the infant’s condition until surgical intervention can be performed.

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Correct Answer is ["C","D"]

Explanation

A. The child should avoid tub baths or submerging in water for several days post-procedure to reduce the risk of infection and keep the catheter site dry; sponge baths are usually recommended.

B. Keeping the child home for an entire week may be excessive; the duration of home care typically depends on the child's recovery, and many children can return to school sooner if they feel well.

C. Offering clear liquids for the first 24 hours helps ensure the child stays hydrated and allows for easier digestion following anesthesia or sedation.

D. Giving acetaminophen for discomfort is appropriate, as it can help manage any pain or discomfort the child may experience after the procedure, and is usually a recommended practice.

A. Enforce strict bed rest without allowing any physical activity. B. Allow the child to decorate their hospital room with personal items. C. Limit visits to reduce the child's emotional dependency. D. Use medical terms to explain procedures.

Correct Answer is B

Explanation

A. Enforcing strict bed rest without any physical activity can lead to feelings of isolation and boredom, which may negatively affect the child's well-being and engagement.

B. Allowing the child to decorate their hospital room with personal items fosters a sense of ownership and comfort, helping to promote emotional well-being and engagement during hospitalization.

C. Limiting visits can increase feelings of loneliness and anxiety in the child, which is not conducive to their emotional health; maintaining social connections is important for well-being.

D. Using medical terms may confuse the child and does not support their understanding or engagement; explanations should be age-appropriate and easily understood.

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What is the priority nursing intervention for a newborn infant diagnosed with transposition of the great vessels?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?

Correct Answer is ["C","D"]

Explanation

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Correct Answer is B

Explanation

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