Maternal & Newborn Health
0934: Client receiving continuous tube feeding via 5 Fr nasogastric tube in the right nare. Abdomen was taut and distended. Dry diaper. Hypoactive bowel sounds in all four quadrants. Large gastric residual that was undigested formula with some bile. Skin hot to the touch and pale pink in tone. Vital signs: T 100° F (37.8° C), P 137, RR 49.
➢ Complete the sentence below by choosing from the list of options
The client is at the ****highest risk**** for developing [fluid volume overload. / necrotizing enterocolitis (NEC). / hyperbilirubinemia]
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