A nurse is assessing a premature newborn for the possibility of necrotizing enterocolitis (NEC). Which assessment findings should the nurse expect to find if NEC is confirmed? (Select all that apply.)
a. Minimal gastric residual
b. Abdominal distention
c. Apnea
d. Urinary output at 2 ml/kg/hr
e. Unstable temperature
ANS: B, C, E
The nurse should observe for indications of early development of NEC by checking the appearance of the abdomen for distention (measuring abdominal girth, measuring residual gastric contents before feedings, and listening for bowel sounds) and performing all routine assessments for high-risk neonates. The premature newborn may have apnea and unstable temperature if NEC is developing. The urinary output will be decreased and will be below the expected 2 ml/kg/hr.
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Fill in the blank with correct word.
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A) dirty linen must be folded inward. B) dirty linen should never be placed on the floor. C) dirty linen should not touch your scrubs or uniform. D) all of the above