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 B
Explanation
A. Read medication labels at least two times prior to administration: Labels should be read three times (when retrieving, preparing, and administering).
B. Avoid preparing medications for more than two clients at one time: Reduces the risk of medication errors by minimizing task-switching and confusion.
C. Inform clients about the action of each medication prior to administration: While educating clients is essential, it is not always required before every medication.
D. Complete an incident report if a client vomits after taking a medication: An incident report is typically required only for errors or adverse events.
Correct Answer is C
Explanation
A. Using a surge protector with multiple appliances increases the risk of electrical overload and is not recommended.
B. A frayed cord poses a safety hazard and should be reported immediately; the infusion should not proceed.
C. The nurse should check the expiration date on the safety inspection sticker to ensure the infusion pump has passed recent safety inspections and is safe to use.
D. The extension cord must be grounded for safety; ungrounded cords increase the risk of electrical shock.
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