When a client has undergone a carotid endarterectomy and has been returned to the nursing unit with stable vital signs, the nurse should
a. assess neurologic status every 4 hours.
b. keep the client in a flat, supine position with the head flexed.
c. maintain blood pressure within 20 mm Hg of the preoperative values.
d. provide neck range-of-motion exercises every 8 hours.
C
Postoperative care after carotid endarterectomy includes neurologic assessments every 1 to 2 hours. Keep the client's head aligned in a straight position to help maintain airway patency and to minimize stress on the operative site. Elevate the head of the bed when vital signs are stable. Maintain the client's blood pressure within 20 mm Hg of the preoperative normal values.
You might also like to view...
When assessing a patient, the nurse notes a yellow tinge to the patient's skin. How should the nurse document this finding?
a. Dyspnea b. Cyanosis c. Jaundice d. Ecchymosis
Which of the following potential problems would the nurse consider when planning care for a patient with a persistent occiput posterior position of the fetus? Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Select all that apply. 1. Increased fetal mortality 2. Third- or fourth-degree lacerations 3. Ceasing of labor progress 4. Fetus born in posterior position 5. Intense back pain during labor
During an admission interview the client says, "I was given Interferon alfa-2b for cancer treatment." The nurse should look for evidence of which type of cancer in this client's history?
1. Breast cancer 2. Malignant melanoma 3. Kaposi's sarcoma 4. Bladder cancer 5. Cancer of the sinuses
Identify an accurate statement about the pharmacokinetics of drugs effective in the treatment of dysentery.
A. Chloroquine is entirely metabolized in the liver prior to excretion. B. Metronidazole is metabolized in the liver to active trichomonicidal conjugates. C. Tinidazole is metabolized slightly (30 percent) and excreted into the urine mostly unchanged (70 percent). D. Chloroquine is very rapidly redistributed among tissue.