MEDSURG:HESI PACKET.

MEDSURG:HESI PACKET.1. Stool that is narrower in diameter, (ribbon like) can be an indication of left sided colon cancer. 2. Colonoscopy every 10 years, starting at age 50, for everyone at average risk to screen for colorectal cancer. 3. 2 Liters of polyethylene glycol (GoLYTELY) solution; is a saline and osmotic laxative solution that causes retention of fluid in the intestinal lumen from the osmotic effect. Its purpose is to clean out all feces from the colon. By the end of the preparation, most clients are expelling almost clear, watery stools. 4. May have bad taste when drinking it so tell them to “use ice to chill the medication” 5. Conscious sedation anesthesia is established with morphine and midazolam (versed)- has signs of ptosis, droopy eyelids, and slurred speech desired sedation for a client during the procedure, the nurse should continue to monitor the client. 6. If patient cannot be aroused give flumazenil; respiratory depression can occur in a client after a procedure requiring sedation. Romazicon reverses the effects of benzodiapines. 7. Surgical procedures with general anesthesia normally require a hemoglobin of 10.0 g/Dl or higher in order to ensure adequate oxygen-carrying capacity. 8. Uncontrolled pain can be a precursor of postoperative complications; therefor, to ensure the clients safety, it is important for the nurse to reassess the client after the initial dose of the pain. 9. Pruritus (itching) is a possible, temporary, common side effects to narcotics, especially if the client is opiate-naïve 10. 10. 11. Atelectasis (collapse, airless alveoli) is a common postoperative risk due to anesthesia, restricted breathing from the pain, and retained secretions. Crackles will typically resolve by deep breathing promoted by the use of an incentive spirometer. 12. Following major abdominal surgery, a client is at risk for blood clots due to immobility, manipulation of vessels and hypercoagulability.