A nasogastric tube to suction is ordered for a child newly diagnosed with a diaphragmatic hernia. The nurse notes that the surgeon has not ordered fluid replacement for the NG drainage
What might occur if large amounts of gastric drainage are noted without replacement? 1. The infant may lose weight due to loss of nutrition.
2. The infant will develop metabolic alkalosis.
3. The infant will become dehydrated.
4. The infant will develop hyperbilirubinemia.
2
Rationale 1: The child is NPO. Weight loss and inadequate nutrition are not related to lack of NG replacement.
Rationale 2: When large quantities of gastric juice is removed, acid is lost and metabolic alkalosis follows.
Rationale 3: The volume would not be sufficient to cause dehydration.
Rationale 4: Hyperbilirubinemia is unrelated to gastric suction.
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