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

A bowl of whole grain cereal with milk

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

14 Year Old African American Girl

Alterations In GI Function

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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.

2.

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
Correct Answer(s)

A. Lead
A. Iron
A. Milk
A. Calcium

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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3.

In the child with diarrhea, which of the following diet items could worsen the situation? (Select all that apply)
- Sunny Delight
- Applesauce
- Hamburger
- Mashed Potatoes
- Oatmeal made with milk
- A bowl of whole grain cereal with milk
Correct Answer(s)

A. Sunny Delight
A. Hamburger
A. Oatmeal made with milk
A. A bowl of whole grain cereal with milk

Explanation

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

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4.

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
Correct Answer

A. 3 Year Old Asian Boy

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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5.

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
Correct Answer

A. Pyloric Stenosis

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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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
Correct Answer(s)

A. Located in the RUQ
A. Hard
A. Olive Shaped
A. Moveable

Explanation

See PowerPoint "Clinical Manifestations" of Pyloric Stenosis

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7.

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)
Correct Answer

A. Regland (Metoclopramide)

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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Quiz Edited by
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Oct 02, 2012

Quiz Created by
Hsams7579

Alterations In GI Function

Quiz Preview

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)

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

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

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?

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)

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