Alterations in GI Function

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

3 Year Old Asian Boy

5 Year Old Caucasion Girl

12 Year Old Hispanic Boy

14 Year Old African American Girl

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

Explanation

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

About This 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?

Chronic GER

Intussception

Pyloric Stenosis

None of the above

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.

Explanation

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

Zantac (Ranitidine)

Pepcid (Famotidine)

Regland (Metoclopramide)

Flexeril (Cyclobenzaprine)

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.

Explanation

4. Match the following conditon with its definition

Opening between stomach & duodenum

Results of relaxation or incompetence of lower esophageal sphincter

Invagination or telescoping of part of the intestine into an adjacent distal portion of intestine

Critical condition that is a result of extracellular fluid loss

Increase in frequency, fluidity, & volume of stools

Decrease in frequency or passage of stools

Incomplete fusion of the lip

Incomplete Fusion of the Palate

Submit

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)

Lead

Iron

Milk

Calcium

 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

Explanation

Submit

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)

Located in the RUQ

Located in the LUQ

Soft

Hard

Bean Shaped

Olive Shaped

No defined shape

Non-Moveable

Moveable

See PowerPoint "Clinical Manifestations" of Pyloric Stenosis

Explanation

See PowerPoint "Clinical Manifestations" of Pyloric Stenosis