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A nurse is caring for a neonate in the neonatal intensive care unit.

Exhibits

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

and

Answer and Explanation

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.


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Related Questions

Correct Answer is C

Explanation

A. Immobility more commonly leads to orthostatic hypotension rather than increased blood pressure.

B. Immobility typically leads to increased calcium levels due to bone demineralization.

C. A swollen area on the calf may indicate a deep vein thrombosis (DVT), a serious complication of immobility.

D. Urinary stasis and retention, rather than frequency, are common complications of immobility.

Correct Answer is ["6"]

Explanation

Step 1: Calculate the desired dose per minute.

Desired dose = 4 mcg/kg/min * 80 kg = 320 mcg/min

Step 2: Convert mcg/min to mg/hr.

320 mcg/min * 60 min/hr = 19200 mcg/hr = 19.2 mg/hr

Step 3: Calculate the concentration of dopamine in the solution.

Concentration = 800 mg / 250 mL = 3.2 mg/mL

Step 4: Calculate the volume to be infused per hour.

Volume/hr = Dose rate (mg/hr) / Concentration (mg/mL)

Volume/hr = 19.2 mg/hr / 3.2 mg/mL = 6 mL/hr

Therefore, the nurse should set the IV infusion to deliver 6 mL/hr.

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