Jake is a 32-year-old patient who is recovering from major abdominal surgery

Jake is a 32-year-old patient who is recovering from major abdominal surgery and organ resection following a

catastrophic motor vehicle accident. Due to the nature of his injuries, a large portion of his jejunum had to be resected. In planning for his recovery and nutritional needs, the AGACNP considers that:

A. He will probably be able to transition to oral nutrition but will have lifetime issues with diarrhea

B. His procedure has put him at significant risk for B12 absorption problems

C. Most jejunum absorption functions will be assumed by the ileum

D. Enteral nutrition will need to be delayed for 3 to 6 months to facilitate adaptation

 
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While reviewing the head CT scan of a patient following a motor vehicle accident

While reviewing the head CT scan of a patient following a motor vehicle accident, the AGACNP appreciates a

crescent-shaped fluid collection. This most likely represents:

A. Acute subdural hematoma

B. Acute epidural hematoma

C. Acute uncal herniation

D. Acute brainstem compression

 
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Sara S. is a 41-year-old patient who has just had a bone marrow transplant.

Sara S. is a 41-year-old patient who has just had a bone marrow transplant. The AGACNP knows that which medication

will be used to decrease her risk of graft-versus-host reaction?

A. Immune globulin

B. Cyclosporine

C. Prophylactic antibiotics

D.Systemic corticosteroids

 
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When evaluating a patient with acute pancreatitis,

When evaluating a patient with acute pancreatitis, which of the following physical or diagnostic findings is an

ominous finding that indicates a seriously ill/potentially moribund patient?

A. Severe epigastric pain with radiation to the back

B. Abdominal guarding and rigidity

C. Grey Turner sign

D. Obturator sign

 
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