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 C

Explanation

A. Administer some insulin: Insulin is not appropriate unless there is evidence of hyperglycemia, which is not suggested by the symptoms described.

B. Prepare the patient to receive a blood transfusion: The symptoms described are not indicative of a need for a blood transfusion but rather suggest adrenal insufficiency.

C. Administer IV glucose: Addisonian crisis can be triggered by stress and dehydration, leading to low blood sugar and symptoms such as weakness and confusion. Administering IV glucose can help manage hypoglycemia and provide immediate support.

D. Collect some urine and assess for glucosuria: The symptoms are more acute and related to adrenal insufficiency rather than glucosuria.

A. status epilepticus. B. anticonvulsant syndrome. C. syphilitic posturing. D. positive Babinski reflex

Correct Answer is A

Explanation

A. Status epilepticus: Status epilepticus is a life-threatening condition where seizure activity is continuous or occurs in rapid succession without recovery between seizures.

B. Anticonvulsant syndrome: This term is not a recognized medical condition.

C. Syphilitic posturing: This term is not associated with seizure disorders and is not a recognized condition.

D. Positive Babinski reflex: This indicates an upper motor neuron lesion but is not related to continuous seizure activity.

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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.

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