The nurse, assessing a baby who is in the immediate postoperative period after a surgical repair of an esophageal atresia with tracheoesophageal fistula, is observing for early signs of airway obstruction
In addition to abnormal breath sounds, what would the nurse find if the baby begins to have airway obstruction? a. anxious expression and tachypnea
b. high-pitched cry and slowed respirations
c. loss of consciousness and turning blue
d. clutching the air and crying loudly
A
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A Correct. Early signs of airway obstruction include abnormal breath sounds, an anxious expression on the infant's face, and tachypnea.
B Incorrect. Early signs of airway obstruction include abnormal breath sounds but not a high-pitched cry and slowed respirations.
C Incorrect. Early signs of airway obstruction include abnormal breath sounds but not loss of consciousness and turning blue. These would be late signs of airway obstruction.
D Incorrect. Early signs of airway obstruction include abnormal breath sounds but not clutching the air and crying loudly.
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