A patient has recently undergone major abdominal surgery. Identify a sequela that can result from prolonged bed rest after a surgical procedure.

Paralytic ileus

Esophageal dysplasia.

Gastroparesis

Paralytic ileum

Answer and Explanation

The Correct Answer is A

A. Paralytic ileus: Paralytic ileus is a common complication of major abdominal surgery and prolonged bed rest. It is a temporary cessation of normal bowel peristalsis, leading to a lack of bowel sounds and the inability to pass gas or stool.

B. Esophageal dysplasia: This condition refers to abnormal changes in the cells of the esophagus, typically related to chronic gastroesophageal reflux disease (GERD), not prolonged bed rest.

C. Gastroparesis: This is a condition in which the stomach cannot empty itself of food in a normal fashion, often related to diabetes or damage to the vagus nerve. It is not a direct result of prolonged bed rest.

D. Paralytic ileum: This should refer to "paralytic ileus."

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Correct Answer is A

Explanation

A. Positive Brudzinski's sign: A positive Brudzinski's sign, which involves involuntary flexion of the hips and knees when the neck is flexed, is a common finding in meningitis (both viral and bacterial).

B. Dysarthria and double vision: These symptoms are not typical of viral meningitis; they are more often associated with neurological disorders such as multiple sclerosis.

C. Petechiae and purpura: These are more commonly associated with bacterial meningitis, particularly meningococcal meningitis, rather than viral meningitis.

D. Positive Babinski's reflex: A positive Babinski’s reflex indicates an upper motor neuron lesion and is not specific to meningitis.

A. "You have irreparably damaged your liver, there is no available treatment at this time." B. "A vaccine could have prevented this illness but a full recovery typically occurs with HAV.” C. "You likely came in contact with HAV infected blood to have contracted this disease." D. "Expect to feel better in about a month but expect to have the symptoms for life."

Correct Answer is B

Explanation

A. "You have irreparably damaged your liver, there is no available treatment at this time.": Hepatitis A is usually a self-limiting illness with full recovery, and the liver often heals completely.

B. "A vaccine could have prevented this illness but a full recovery typically occurs with HAV.”: Hepatitis A can be prevented by vaccination, and most people recover fully without lasting liver damage.

C. "You likely came in contact with HAV-infected blood to have contracted this disease.": Hepatitis A is transmitted primarily through the fecal-oral route, not through blood contact.

D. "Expect to feel better in about a month but expect to have the symptoms for life.": While symptoms can last for several weeks to months, they do not persist for life in hepatitis A infections.

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A patient has recently undergone major abdominal surgery. Identify a sequela that can result from prolonged bed rest after a surgical procedure.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment finding is expected for a patient just diagnosed with viral (aseptic) meningitis?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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