A nurse is caring for a neonate in the neonatal intensive care unit.
The nurse is reviewing the neonate's electronic medical record.
Drag words from the choices below to fill in each blank in the following sentence.
Following discontinuation of feedings, the nurse should monitor for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Sepsis: Preterm neonates are at increased risk for infections, including sepsis. Discontinuation of feedings, along with the other signs observed (such as abdominal distention, blood in stool, lethargy, and hypotonia), may suggest the onset of infection, which requires close monitoring.
Hypotension: Preterm neonates are also at risk for hypotension due to immature circulatory systems. The stress of gastrointestinal disturbances, such as abdominal distention and the potential for necrotizing enterocolitis (NEC), can result in decreased perfusion, contributing to hypotension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Spotting or painless vaginal bleeding is a hallmark sign of placenta previa.
B. A board-like abdomen is associated with placental abruption, not placenta previa.
C. Nausea is not a typical symptom of placenta previa.
D. Delayed menses is unrelated to placenta previa and indicates a different condition.
Correct Answer is C
Explanation
A. Ranitidine: An H2 receptor blocker, typically used to reduce stomach acid, is unnecessary since the stomach has been removed.
B. Vitamin K: Although important for clotting, vitamin K absorption is not significantly affected by total gastrectomy.
C. Vitamin B12: Clients require lifelong vitamin B12 supplementation (usually via intramuscular injections) after total gastrectomy to prevent deficiency and associated complications such as anemia and neurological impairments.
D. Metoclopramide: A prokinetic agent used to enhance gastric motility, which is not relevant after total gastrectomy.
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