Intussusception Quiz

What is intussusception?

• A blockage of the intestine due to a tumor

• A condition where a part of the intestine telescopes into itself

• Inflammation of the intestinal lining

• An infection in the gastrointestinal tract

Answer explanation

Intussusception occurs when a segment of the intestine folds into itself, resembling a telescope. This can lead to blockage and other complications, making the correct choice 'A condition where a part of the intestine telescopes into itself'.

At what age group is intussusception most commonly seen?

• Newborns

• Infants and children aged 6 months to 3 years

• Adolescents

• Adults over 60

Answer explanation

Intussusception is most commonly seen in infants and children aged 6 months to 3 years due to anatomical and physiological factors that make this age group more susceptible to this condition.

Which of the following is a classic symptom of intussusception?

• Watery diarrhea

• Currant jelly stools

• Black tarry stools

• Foul-smelling stools

Answer explanation

Currant jelly stools are a classic symptom of intussusception, indicating the presence of blood and mucus in the stool due to intestinal obstruction. Other options do not specifically relate to this condition.

A child presents with severe abdominal pain and irritability. Which nursing intervention should be prioritized?

• Provide oral fluids

• Assess abdominal pain and tenderness

• Encourage ambulation

• Administer analgesics

Answer explanation

Assessing abdominal pain and tenderness is crucial to determine the cause of the child's severe pain. This intervention helps guide further treatment and ensures the child's safety before administering fluids or analgesics.

Which diagnostic test is considered first-line imaging for intussusception in children?

• CT scan

• MRI

• X-ray

• Ultrasound

Answer explanation

Ultrasound is the first-line imaging test for intussusception in children due to its safety, effectiveness, and ability to visualize the condition without radiation exposure.

What is the primary risk factor for intussusception in children?

• Low fiber diet

• Previous abdominal surgery

• Chronic constipation

• Cystic fibrosis

Answer explanation

Cystic fibrosis is a primary risk factor for intussusception in children due to the thickened intestinal secretions that can lead to obstruction. Other options like low fiber diet and chronic constipation are less directly linked.

What is a potential complication of intussusception that nurses should monitor for?

• Bowel perforation

• Malabsorption syndrome

• Peptic ulcers

• Gastroesophageal reflux

Answer explanation

Bowel perforation is a serious complication of intussusception that can occur due to increased pressure and ischemia in the affected bowel segment. Nurses should closely monitor for signs of perforation, such as abdominal pain and distension.

What should be included in the nursing care plan for a child with suspected intussusception?

• Maintain a high-fiber diet

• Administer laxatives

• Keep the patient NPO and prepare for possible surgery

• Encourage oral hydration

Answer explanation

In suspected intussusception, keeping the patient NPO is crucial to prevent complications during surgery. Other options like high-fiber diet or laxatives can worsen the condition, making surgery preparation essential.

What sign should a nurse look for that indicates the presence of a palpable abdominal mass in intussusception?

• Distended abdomen

• "Sausage-shaped" mass

• Visible peristalsis

• Ascites

Answer explanation

In intussusception, a 'sausage-shaped' mass is a classic sign indicating a palpable abdominal mass due to the telescoping of the intestine. This distinct shape helps differentiate it from other abdominal issues.

What should the nurse monitor for to assess the return of normal bowel function post-intussusception treatment?

• Increase in abdominal pain

• Absence of bowel sounds

• Return of bowel sounds and passage of flatus/stool

• Increased vomiting

Answer explanation

To assess the return of normal bowel function post-intussusception treatment, the nurse should monitor for the return of bowel sounds and the passage of flatus or stool, indicating that the intestines are functioning properly.