Prior to the surgical repair of an esophageal atresia with tracheoesophageal fistula, the nursing interventions are mainly focused on which of the following things?
a. getting as much weight gain as possible c. preventing aspiration pneumonia
b. family education regarding care d. discharge planning
C
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A Incorrect. The preoperative nursing interventions are not mainly focused on getting as much weight gain as possible. The infant is NPO and receives intravenous fluids to maintain hydration status.
B Incorrect. Family education regarding care is an important nursing intervention which would occur postoperatively.
C Correct. Prior to the surgical repair of an esophageal atresia with tracheoesophageal fistula, the nursing interventions are mainly focused on the prevention of aspiration of secretions from the upper esophageal pouch and prevention of regurgitation of stomach contents through the fistula into the trachea, i.e., prevention of aspiration pneumonia.
D Incorrect. Discharge planning should begin as soon as the infant is admitted, but it is not the main focus of nursing interventions.
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