Asked by Caitlin Bagwell on May 11, 2024
Verified
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
Intussusception
A medical condition in which a part of the intestine folds into the section next to it, causing blockage and potential loss of blood supply.
Air Pressure
The force exerted onto a surface by the weight of the air above it.
Normal Brown Stool
The typical color of feces, indicating a healthy digestive system and bile production.
- Determine relevant nursing actions for various gastrointestinal conditions in children.
Verified Answer
BA
bbasjtr aidetMay 17, 2024
Final Answer :
A
Explanation :
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.
Learning Objectives
- Determine relevant nursing actions for various gastrointestinal conditions in children.