Case Study
RN Comprehensive Predictor 2023 Proctored Exam
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 ______
Explanation & Rationale
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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