Medsurg V ATI Verified 100 % basal cell carcinoma: appearance - -pearly, waxy nodule -well-defined borders -pearly/waxy d/t overexposure to sun -on face/neck/arms PE: signs - -crackles, wheezes, or pleural friction rub -petechiae over *chest/axillae* -hemoptysis -JVD colectomy: post -op stool consistency - when peristalsis returns, initial period of *high volume liquid stool*, up to 1,800 mL/day later, small bowel adapts, stool drops to 800 mL/day post-op: stool consistency - 1) transverse colostomy --> PASTY 2) colectomy --> w/ high volume of liquid 3) descending colostomy --> solid, well -formed 4) ileostomy --> red (first drainage), then greenish -yellow *frank blood clots = always abnormal* hip arthroplasty: post -op teaching - -maintain affected extremity in neutral position, slightly *abducted* -may use abductor pillow or several pillows b/w pt legs when in bed -dislocation = leg rotates inward, sudden severe pain, shorter surgical extremity -TCDB q 2 hrs NOT IS -don't flex > 90 degrees at ANY time paracentesis vs. thoracentesis - PARA -empty bladder -weight before + after -bedrest post -op THORA -lean over bedside table fecal occult blood test: what food to avoid 48 hrs before - RED MEAT myesthenia gravis: sign - PTOSIS: eyelid droop *Dx hasNO sensation or cognition effect; only affects MOTOR function* parkinsons: sign - masklike expression fat overload syndrome: sign - -elevated triglycerides -multiorgan failure -FEVER esophageal varices: prevent bleeding - STOOL SOFTENERS b/c reduces straining *patho: dilated, bulging veins that inflate d/t portal HTN --> bleed easy* ETT tube: verify placement - MOST RELIABLE -end tidal CO2 -CXR OTHER -bilateral breath sounds -symmetric chest movement -feel exhaled air mastectomy: post -op exercises - DAY 1 squeeze ball w/ hand of affected side *goal: mobility w/o stretch, strain* DAY 2 ROM, i.e. "walk" up wall w/ both hands PACU flex/extend fingers of affected side hand ICP manifestations - EARLY -LOC changes LATE -sudden severe HTN -bradycardia -wide pulse pressure lumbar spinal cord injury (SCI): post -op teaching - watch for CLOUDY urine b/c indicate infection *pt can't feel dysuria, urgency, back pain so only s/sx = cloudy* phenytoin intermittent IV bolus in D5W - -don't infuse > 50 mg/min -flush w/ NS before + after -mix w/ < 50 mL NS -infuse over 1 hr
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