When caring for a client after rhytidectomy, the nurse notes that the left side of the client's face is drooping. The nurse would
a. apply cold compresses.
b. call the surgeon immediately.
c. perform a neurosensory assessment.
d. raise the head of the bed.
B
One complication of the face lift is hematoma formation, often first manifested by facial asymmetry associated with pain on tightness on the affected side of the face. Hematomas can cause tissue necrosis and must be surgically removed before they cause damage. Cold compresses are useful for routine postoperative swelling and bleeding. The client should already be in Fowler position to minimize edema. A neurosensory assessment might be needed if a neurologic event is suspected. But the most common cause of this manifestation is hematoma, so the nurse should notify the surgeon.
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