Gastrointestinal Disorders

Chapter 16 Gastrointestinal Disorders




1. The nurse is caring for an infant in whom esophageal atresia and tracheoesophageal fistula has been newly diagnosed. A priority in the care of this infant is:






2. Infants with esophageal atresia and tracheoesophageal fistula have a high incidence of associated anomalies. What anomalies are commonly seen in these infants?






3. The mother of an infant with esophageal atresia and a distal tracheoesophageal fistula (EA/TEF) is concerned about postoperative complications after a primary repair of the EA/TEF. Complications after primary repair surgery include:






Questions 4 through 7 refer to the following scenario: A 39-week gestational age male infant born to a 35-year-old G2P2 mother via repeat cesarean section is now 2 days old. The infant was rooming with the mother until this afternoon, when the infant began bilious vomiting. The infant was then transferred to the NICU for evaluation of possible bowel obstruction. The infant is alert and in hemodynamically stable condition. Abdominal examination shows distention and tenderness. An abdominal radiograph reveals dilated loops of bowel. Specimens have been sent for blood cultures and a complete blood count, and antibiotic therapy has been started.


4. The immediate plan of care for this infant should include which of the following?






5. An upper gastrointestinal tract contrast study confirms the diagnosis of malrotation and volvulus. The nurse understands that this is a surgical emergency due to the high risk for which of the following?






6. While being prepared for surgery, the infant becomes lethargic, hypotensive, and tachycardic. He is pale, and his perfusion is diminished. He has been intubated because of respiratory distress. The nurse should anticipate which of the following immediate interventions for this infant?






7. The infant undergoes a Ladd procedure, and it is now postoperative day 1. The infant is receiving a fentanyl infusion at 0.5 mcg/kg/hour and acetaminophen as needed, which he received 2 hours ago. The nurse notices that the infant is tachycardic and is grimacing. She assesses his pain as 6 out of 10 using the CRIES pain scale. The best intervention would be to:






8. The father of a baby boy with an imperforate anus is worried about his son’s bowel continence later in life. The nurse’s explanation to the father is based on which of the following facts?


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Jul 11, 2016 | Posted by in NURSING | Comments Off on Gastrointestinal Disorders

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