A nurse is caring for a child with intussusception.
Which finding would indicate a potential complication?

Choice A rationale

Tight-fitting underwear can trap moisture and limit airflow in the genital area, potentially creating a more favorable environment for bacterial growth and increasing the risk of urinary tract infections (UTIs), rather than preventing them.

Choice B rationale

Wiping from front to back after urination and defecation is a critical hygiene practice for females to prevent the transfer of bacteria from the rectal area to the urethra. The urethra is shorter in females, making them more susceptible to ascending UTIs from fecal bacteria like *Escherichia coli*.

Choice C rationale

Bubble baths can introduce irritants and soaps into the urethra and perineal area, disrupting the natural flora and potentially increasing the risk of UTIs, especially in children who are already prone to them.

Choice D rationale

Limiting fluid intake can lead to less frequent urination and more concentrated urine. This allows bacteria more time to multiply in the urinary tract and reduces the flushing action that helps to eliminate bacteria, thereby increasing the risk of UTIs. Adequate hydration and frequent voiding are important for preventing UTIs. .

Choice A rationale

Lethargy, or excessive drowsiness and lack of energy, can be a sign of dehydration, electrolyte imbalance, or even bowel perforation in a child with intussusception. These are serious complications that require immediate medical attention. Normal temperature range is 36.5°C to 37.5°C (97.7°F to 99.5°F).