Author Question: The nurse is preparing to admit a 3-year-old child with intussusception. What clinical ... (Read 81 times)

storky111 · **on:** Jun 28, 2018

The nurse is preparing to admit a 3-year-old child with intussusception. What clinical manifestations should the nurse expect to observe? (Select all that apply.)

a. Absent bowel sounds
b. Passage of red, currant jellylike stools
c. Anorexia
d. Tender, distended abdomen
e. Hematemesis
f. Sudden acute abdominal pain

Question 2

The nurse is evaluating the laboratory results of a stool sample. What is a normal finding?

a. The laboratory reports a stool pH of 5.0.
b. The laboratory reports a negative guaiac.
c. The laboratory reports low levels of enzymes.
d. The laboratory reports reducing substances present.

IAPPLET · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B, D, F
Intussusception occurs when a proximal segment of the bowel telescopes into a more distal segment, pulling the mesentery with it and leading to obstruction. Clinical manifestations of intussusception include the passage of red, currant jellylike stools; a tender, distended abdomen; and sudden acute abdominal pain. Absent bowel sounds, anorexia, and hematemesis are clinical manifestations observed in other types of gastrointestinal dysfunction.

Answer to Question 2

ANS: B
The normal stool finding is a negative guaiac. Stool pH should be 7.0 to 7.5. A stool pH <5.0 is suggestive of carbohydrate malabsorption; colonic bacterial fermentation produces short-chain fatty acids, which lower stool pH. There should be no enzymes or reducing substances present in a normal stool sample.