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. Which nursing action is the most appropriate?
A) Notify 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 care plan. The first action would be to report the normal stool to the practitioner.

The Nurse Is Caring for a Boy with Probable Intussusception