Alterations In GI Function

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1. Who is most at risk for their ileo-cecal valve area to push into the cecum and colon?

Explanation

Race doesn't matter. However, age & gender does matter in this case. Males ages 3 to 6 are most at risk for intussception.

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About This Quiz
Alterations In GI Function - Quiz

This quiz on 'Alterations in GI Function' assesses knowledge related to gastrointestinal disorders in children. It includes questions on conditions such as Pyloric Stenosis, risk factors for constipation, and dietary impacts on diarrhea, aiming to enhance practical nursing skills and understanding in pediatric care.

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2. A nurse gets a phone call from a concerned parent of a 6 week old infant. The parent states the client's emesis is absent of bile and is blood tinged. What do you initially suspect?

Explanation

Based on the symptoms described by the concerned parent (absence of bile and blood tinged emesis), the nurse would initially suspect pyloric stenosis. Pyloric stenosis is a condition in which the muscle between the stomach and small intestine thickens, causing a blockage. This can lead to forceful vomiting, which may be blood tinged due to irritation of the stomach lining. Chronic GER (gastroesophageal reflux) and intussusception are not typically associated with blood tinged emesis, making pyloric stenosis the most likely explanation.

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3. In the client with GER, which of the following medications is used to increase LES pressure & accelerate gastric emptying time?

Explanation

Metoclopramide is the correct answer because it is a medication that can increase the pressure of the lower esophageal sphincter (LES) and speed up the emptying of the stomach. This can be beneficial for clients with gastroesophageal reflux (GER) as it helps to prevent the backflow of stomach acid into the esophagus. Zantac (Ranitidine) and Pepcid (Famotidine) are both medications that reduce stomach acid production but do not affect LES pressure or gastric emptying time. Flexeril (Cyclobenzaprine) is a muscle relaxant and is not used for treating GER.

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4. Match the following conditon with its definition  
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5. Which of the following items could possibly put a child at risk for constipation if too little or too much of the substance? (Select all that apply)

Explanation

 Hypothyroidism
 Hypercalcemia
 Chronic lead levels
 Spinal cord lesions
 Excessive milk intake
 Drugs
 Iron
 An underlying disease
 Diet
 Psychologic factor
 Structural anomaly
 Dehydration
 Lack of exercise

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6. Small palpable masses may be found in client's experiencing Pyloric Stenosis. Which of the following describes the usual findings of these masses? (Select all that apply)

Explanation

See PowerPoint "Clinical Manifestations" of Pyloric Stenosis

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7. In the child with diarrhea, which of the following diet items could worsen the situation? (Select all that apply)

Explanation

Sunny Delight is high in sugar. Hamburger is high in fat. Dairy products should be avoided.

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Who is most at risk for their ileo-cecal valve area to push into the...
A nurse gets a phone call from a concerned parent of a 6 week old...
In the client with GER, which of the following medications is used to...
Match the following conditon with its definition  
Which of the following items could possibly put a child at risk for...
Small palpable masses may be found in client's experiencing...
In the child with diarrhea, which of the following diet items could...
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