A newborn in the nursery has excessive drooling and coughing with associated cyanosis, which worsens when feeding is attempted. Based on these assessments, the nurse suspects this child to have:
a. Pyloric stenosis
b. Biliary atresia
c. Tracheoesophageal fistula
d. Bowel obstruction
C
Tracheoesophageal atresia is a condition in which the esophagus and the trachea are attached with a fistula that allows saliva and feedings to enter the trachea, causing coughing. These signs increase when feeding is attempted.
You might also like to view...
A child who has not had a tetanus immunization steps on a rusty nail. The child needs immediate protection from tetanus. Which of the following should be given to the child at this time?
1. Toxoid 2. Antigen 3. Killed virus 4. Passive immunity
A 20-year-old patient who had an open appendectomy this morning has just been admitted to the postsurgical unit from postanesthetic recovery. The patient has a persistent cough that is likely a result of airway irritation caused by intubation
The patient has asked the nurse for something the help with his cough and the nurse is planning to ask the patient's physician for an order for codeine. The use of codeine is contraindicated in this patient because A) the resulting GI upset will increase his chance of developing paralytic ileus. B) codeine will not resolve coughing that is the result of physical airway irritation . C) codeine cannot be administered less than 48 hours after general anesthetic. D) codeine will make it more difficult for him to maintain a patient airway because of his post-operative status.
A patient with a bacterial infection has been placed on antibacterial therapy. Which assessment finding in the patient indicates that the therapy is effective?
a. Red blood cell count is 4,500,000 cells/mm3. b. White blood cell (WBC) count is 8000 cells/mm3. c. Wound drainage is thick and yellow. d. Temperature is 102.4° F.
In an emergency, do not be distracted by bleeding. Always check the patient's ____________________ first.
Fill in the blank(s) with the appropriate word(s).