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HESI Med Surg 1 Final Exam Study Guide
Questions and Answers 2023 (Verified Answers)
1.Four days after abdominal surgery a client has not passed flatus and
there are no bowel sounds. Paralytic ileus is suspected. What does the
nurse conclude is the most likely cause of the ileus ANS Impaired neural
functioning
Paralytic ileus occurs when neurologic impulses are diminished as a
result of anesthesia, infection, or surgery. Interference in blood supply
will result in necrosis of the bowel. Perforation of the bowel will result in
pain and peritonitis. Obstruction of the bowel initially will cause
increased peristalsis and bowel sounds.
2.A nurse is caring for a client with cirrhosis of the liver. Which laboratorytest should the nurse monitor that, when abnormal, might identify a clientwho may benefit from neomycin enemas ANS Ammonia level
Increased ammonia levels indicate that the liver is unable to detoxify
protein by-prod- ucts. Neomycin reduces the amount of ammoniaforming bacteria in the intestines. Culture and sensitivity testing is
unnecessary; cirrhosis is an inflammatory, not infectious, process.
Increased white blood cell count may indicate infection; however, this<\/p>\n\n\n\n
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will have no relationship to the need for neomycin enemas. ALT, also
called serum glutamic-pyruvic transaminase (SGPT), assesses for liver
disease but has no relationship to the need for neomycin enemas.
3.Name the characteristics that support chronic persistent stage of
Lyme disease: Arthritis
Chronic fatigue
R: Systemic infectious disease caused by Spirochete Borrelia Burgdorfer4.symptoms of Prodomal stage w\/inhalation of anthrax.:
Fatigue Mild chest pain
dry cough
R:The manifestations include low-grade fever; fatigue; mild chest pain;
and a dry, harsh cough. Inhalation anthrax is a two-stage illness,
prodromal and fulminant. The prodromal stage is the early stage and is
difficult to distinguish from influenza or pneumonia. A special feature of inhalation anthrax is that it is not accompanied by upper respiratory
manifestations of sore throat or rhinitis.
5.Which are examples of a type IV hypersensitivity reaction ANSSarcoidosis and poison ivy
In type IV hypersensitivity, the inflammation is caused by a reaction ofsensitized T cells with the antigen and the resultant activation of
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macrophages due to lymphokine release. Myasthenia gravis is anexample of a type II or cytotoxic hypersensitivity<\/p>\n","protected":false},"excerpt":{"rendered":"
1 \/HESI Med Surg 1 Final Exam Study GuideQuestions and Answers 2023 (Verified Answers)1.Four days after abdominal surgery a client has not passed flatus andthere are no bowel sounds. Paralytic ileus is suspected. What does thenurse conclude is the most likely cause of the ileus ANS Impaired neuralfunctioningParalytic ileus occurs when neurologic impulses are diminished […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-115996","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115996","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=115996"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115996\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=115996"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=115996"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=115996"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}