An infant born an hour ago exhibits coughing and drooling, cyanosis, abdominal distention, and moderate retractions and grunting. Based on these symptoms, what would be the most likely diagnosis?
1. Tracheoesophageal fistula
2. Laryngomalacia
3. Respiratory distress syndrome
4. Bronchopulmonary dysplasia
1
Feedback
1. Tracheoesophageal fistula is the most likely diagnosis.
2. Laryngomalacia would cause more grunting.
3. The child may initially present similar respiratory distress, but the drooling indicates that more is involved.
4. Bronchopulmonary dysplasia occurs after long-term ventilator support, not soon after birth.
You might also like to view...
A client asks the nurse about her vital signs, and the nurse refuses to provide the client with this information. This is an example of a breach in:
a. justice c. veracity b. nonmaleficence d. beneficence
Which of these conditions belongs to the herpes virus group and lies dormant in tissues waiting to be reactivated in the immunocompromised client?
a. cryptosporidium enteritis c. Pneumocystis carinii pneumonia b. cytomegalovirus d. tuberculosis
The nurse is conducting a health maintenance physical for a school-age patient. Which finding in the family medical history would necessitate the need for further evaluation if the patient would like to participate in soccer?
1) Mother is diagnosed with type 1 diabetes mellitus. 2) Father died of massive heart attack at the age 34 years 3) Maternal grandfather died of end-stage renal failure at the age 66 years 4) Sibling is diagnosed with attention deficit hyperactivity disorder
The nurse instructs the client to prevent air embolism with total parenteral nutrition (TPN) by performing the Valsalva's maneuver. The nurse instruct the client to take a breath, then:
a. breathe rapidly. b. hold it, and bear down. c. exhale and bear down. d. exhale and hold it.