An infant has been born with an esophageal atresia and tracheoesophageal fistula. What is a priority preoperative nursing diagnosis?
1. Ineffective tissue perfusion: gastrointestinal, related to decreased circulation
2. Ineffective infant feeding pattern related to uncoordinated suck and swallow
3. Acute pain related to esophageal defect
4. Aspiration, risk for related to regurgitation
4
Rationale 1: Tissue perfusion is not a primary problem with this condition.
Rationale 2: The infant is always kept NPO (nothing by mouth) preoperatively, so ineffective feeding pattern would not apply.
Rationale 3: Pain is not usually experienced preoperatively with this condition.
Rationale 4: This is the most common type of esophageal atresia and tracheoesophageal fistula, where the upper segment of the esophagus ends in a blind pouch and a fistula connects the lower segment to the trachea. Preoperatively, there is a risk of aspiration of gastric secretions from the stomach into the trachea because of the fistula that connects the lower segment of the esophagus to the trachea.
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