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?
A) Weight loss
B) Metabolic alkalosis
C) Dehydration
D) Hyperbilirubinemia

Question

Quizplus · Accepted Answer

Gastric drainage can lead to loss of hydrochloric acid and subsequent metabolic alkalosis in neonates with diaphragmatic hernia due to reduced gastric perfusion and peristalsis. Priority should be given to maintain acid-base balance and electrolyte levels, and prevent metabolic alkalosis. Options A, C, and D may occur as secondary complications, but are not the priority concern in this scenario.

A Nasogastric Tube to Suction Is Ordered for a Neonate