The nurse is providing care to a child with an intussusception. The child has a bowel movement and the nurse inspects the stool. The nurse would document the stool's appearance most likely as which of the following?
Explanation & Rationale
Choice A reason: Greasy stools are typically associated with malabsorption syndromes such as cystic fibrosis or celiac disease. They are not characteristic of intussusception, which involves bowel obstruction and ischemia. Choice B reason: Currant jelly-like stools are the hallmark of intussusception. This appearance results from a mixture of mucus and blood due to bowel wall ischemia and sloughing. It is a classic diagnostic clue and should prompt immediate intervention, often with air or contrast enema reduction or surgery if unsuccessful. Choice C reason: Bloody stools may occur in various gastrointestinal conditions, but they lack the distinctive mucus component seen in intussusception. The term “currant jelly” specifically refers to the combination of blood and mucus, which is more diagnostic. Choice D reason: Clay-colored stools suggest biliary obstruction or liver dysfunction, such as in biliary atresia. They are pale due to lack of bile pigment and are not associated with intussusception.