The nurse is caring for an infant who is being treated for severe diarrhea. Twenty-four hours after admission, the diet is advanced from NPO to clear liquids. After clear liquids are started, the baby has four stools in two hours. What should the nurse do?
ExplanationThe bowel still needs rest. Stop the feedings, and notify the charge nurse or the physician. Taking vital signs and weighing the child do not address the issue, which is that oral feedings stimulate diarrhea, indicating the bowel is still irritable and needs further rest.