A nurse is caring for an infant born with esophageal atresia (EA) and tracheoesophageal fistula (TEF) prior to surgery. Which actions taken by a student nurse cause the registered nurse to intervene? (Select all that apply.)
A.
Assesses the infant's intravenous site
B.
Irrigates the orogastric tube as needed
C.
Raises the head of the bed at least 30 °
D.
Suctions the trachea every 2 hours
E.
Teaches parents about barium contrast
ANS: B, D, E
Preoperatively, care for an infant with EA and TEF includes assessing IV sites, frequent suctioning to prevent aspiration (as needed, not on an every-2-hours schedule), raising the head of the bed 30-40 °and turning the head to the side to help prevent aspiration, and possibly administering antibiotics, as aspiration pneumonia is likely. If the infant has a nasogastric or orogastric tube inserted into the blind pouch, the nurse does not irrigate it, as this increases the risk of aspiration. Contrast radiology studies can be done with dilute water-soluble contrast, but not barium.
You might also like to view...
Adjunctive therapies are used for which reasons? (Select all that apply.)
a. To increase self-esteem b. To promote positive interaction c. To enhance reality orientation d. To stimulate communication e. To increase energy
The family of a patient with an SCI is concerned with the lack of bowel function 2 days after the injury. What is the best response by the nurse?
a. "Because of his injury, he will always need to have enemas for bowel evacua-tion." b. "Medical management is delaying bowel action because it places pressure on the injury." c. "Bowel function should return in ap-proximately 3 days after the accident." d. "We'll just have to wait and see if bowel action returns this week."
Sonya drank 4 oz of juice and 8 oz of milk for breakfast, for lunch she had a 12 oz soda, then she drank
another 12 oz soda mid-afternoon. For dinner she drank 16 oz of water. The amount of fluid she drank equals __________ liters. (Use either proportion or dimensional analysis) Fill in the blank(s) with correct word
Were there any negative consequences for the team or the patient? If there were, what were they and how were they dealt with?
Reflect on a recent communication interaction you have had with another member of the perioperative team (i.e. anaesthetist, surgeon, technician, radiographer, nurse) where you perceived the goals of the exchange were not achieved. What will be an ideal response?