CCNS Certified Clinical Nurse Specialist

Answer - B - The nurse did an assessment and noted all of the listed items except sausage-shaped stool. Intussusception is characterized by a “currant-jelly stool” which is composed of blood and mucous that occurs in almost 60% of all cases. The mass in the RUQ of the abdomen is the one that is shaped like a sausage. Other symptoms are sudden acute episodes of severe abdominal pain, during which the child pulls knees to chest; vomiting; lethargy and weakness; distended abdomen, painful to palpation; progressive fever; and prostration if peritonitis occurs.