The nurse is caring for a boy with probable intussusception.He had diarrhea before admission but,while waiting for administration of air pressure to reduce the intussusception,he passes a normal brown stool.The most appropriate nursing action is to:
A)Notify the practitioner.
B)Measure abdominal girth.
C)Auscultate for bowel sounds.
D)Take vital signs, including blood pressure.

Question

Quizplus · Accepted Answer

Passage of a normal brown stool indicates that the intussusception has reduced itself.This is immediately reported to the practitioner,who may choose to alter the diagnostic/therapeutic plan of care.

The Nurse Is Caring for a Boy with Probable Intussusception