HESI-Med Surg I final study guide

HESI-Med Surg I final study guide 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. 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? Ammonia level Increased ammonia levels indicate that the liver is unable to detoxify protein by-products. Neomycin reduces the amount of ammonia-forming 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 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. A nurse is caring for a client with cirrhosis of the liver. Which laboratory test should the nurse monitor that, when abnormal, might identify a client who may benefit from neomycin enemas? Arthritis Chronic fatigue R: Systemic infectious disease caused by Spirochete Borrelia Burgdorferi. Name the characteristics that support chronic persistent stage of Lyme disease 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. symptoms of Prodomal stage w/inhalation of anthrax. Sarcoidosis and poison ivy In type IV hypersensitivity, the inflammation is caused by a reaction of sensitized T cells with the antigen and the resu