Exam 22: Reconstructive and Aesthetic Plastic Surgery

A 49-year-old post-bariatric surgery patient is scheduled for a VASER®-assisted liposuction with tumescent infiltration.The tumescent is a solution of lactated Ringer's,lidocaine,and epinephrine.The perioperative nurse is aware that using more than 70 mL/kg of wetting solution for infiltration can lead to fluid overload.Select the most appropriate nursing action related to minimizing the risk of tumescent solution overload or disproportion to lipoaspirate.

The three most common skin cancers are basal cell,squamous cell,and melanoma.Treated early,skin cancers such as squamous cell and basal cell carcinomas may be cured by simple excision and closure (with pathologic diagnosis to ensure disease-free margins).Melanoma is treated much more aggressively because of its high mortality.The A-B-C-Ds of the warning signs for skin cancer stand for:

A 46-year-old woman had a scar revision of her knee.The knee scar,before revision,was an 8-cm linear,thin scar that extended obliquely across the anterior portion of her knee.The tension of the scar tissue met resistance when she would bend her knee.The surgeon opted to remove the scar with a procedure to break up the linear scar and rearrange the tissue direction to form a natural line.The proper name of this tissue transfer scar revision is the:

Replantation is an attempt to reattach a completely amputated digit or other body part.Revascularization is the procedure performed on incomplete amputations,when the part remains attached to the body by skin,artery,vein,or nerve.Good candidates for replantation are those with which of the following amputations?