Alterations In GI Function
(170).webp "Alterations In GI Function - Quiz")
- 1.
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)
- A.
Lead
- B.
Iron
- C.
Milk
- D.
Calcium
Correct Answer(s)
A. Lead
B. Iron
C. Milk
D. CalciumExplanation
Hypothyroidism
Hypercalcemia
Chronic lead levels
Spinal cord lesions
Excessive milk intake
Drugs
Iron
An underlying disease
Diet
Psychologic factor
Structural anomaly
Dehydration
Lack of exerciseRate this question:
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- 2.
In the child with diarrhea, which of the following diet items could worsen the situation? (Select all that apply)
- A.
Sunny Delight
- B.
Applesauce
- C.
Hamburger
- D.
Mashed Potatoes
- E.
Oatmeal made with milk
- F.
A bowl of whole grain cereal with milk
Correct Answer(s)
A. Sunny Delight
C. Hamburger
E. Oatmeal made with milk
F. A bowl of whole grain cereal with milkExplanation
Sunny Delight is high in sugar. Hamburger is high in fat. Dairy products should be avoided.Rate this question:
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- 3.
Who is most at risk for their ileo-cecal valve area to push into the cecum and colon?
- A.
3 Year Old Asian Boy
- B.
5 Year Old Caucasion Girl
- C.
12 Year Old Hispanic Boy
- D.
14 Year Old African American Girl
Correct Answer
A. 3 Year Old Asian BoyExplanation
Race doesn't matter. However, age & gender does matter in this case. Males ages 3 to 6 are most at risk for intussception.Rate this question:
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- 4.
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?
- A.
Chronic GER
- B.
Intussception
- C.
Pyloric Stenosis
- D.
None of the above
Correct Answer
C. Pyloric StenosisExplanation
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.Rate this question:
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- 5.
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)
- A.
Located in the RUQ
- B.
Located in the LUQ
- C.
Soft
- D.
Hard
- E.
Bean Shaped
- F.
Olive Shaped
- G.
No defined shape
- H.
Non-Moveable
- I.
Moveable
Correct Answer(s)
A. Located in the RUQ
D. Hard
F. Olive Shaped
I. MoveableExplanation
See PowerPoint "Clinical Manifestations" of Pyloric StenosisRate this question:
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- 6.
In the client with GER, which of the following medications is used to increase LES pressure & accelerate gastric emptying time?
- A.
Zantac (Ranitidine)
- B.
Pepcid (Famotidine)
- C.
Regland (Metoclopramide)
- D.
Flexeril (Cyclobenzaprine)
Correct Answer
C. 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.Rate this question:
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Current Version
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Apr 25, 2024Quiz Edited by
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Oct 02, 2012Quiz Created by
Hsams7579