Megan is caring for a neonate. Megan assesses the possibility of necrotizing enterocolitis (NEC) because the premie is exhibiting the generalized assessment of:
1. Hypertonia, tachycardia, and metabolic alkalosis.
2. Abdominal distention, temperature instability, and bloody stools.
3. Hypertension, apnea, and ruddy skin color.
4. No residual feedings and increased urinary output.
2
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1. Metabolic alkalosis cannot be seen in a generalized assessment.
2. These are the cardinal signs of a neonate with a generalized assessment of necrotizing enterocolitis.
3. Hypotension usually occurs, along with the neonate appearing gray or pale in color.
4. Feedings will have a high residual and a decreased urinary output when necrotizing enterocolitis is developing.
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