A nasogastric tube to suction is ordered for a neonate diagnosed with a diaphragmatic hernia. Which complication related to gastric drainage is the priority when planning care for this neonate?
1. Weight loss
2. Metabolic alkalosis
3. Dehydration
4. Hyperbilirubinemia
2
Explanation:
1. Weight loss and inadequate nutrition are not the priority for this client.
2. When large quantities of gastric juice is removed, acid is lost and metabolic alkalosis follows.
3. The volume would not be sufficient to cause dehydration.
4. Hyperbilirubinemia is unrelated to gastric suction.
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