The nurse caring for a patient who is postcarotid endarterectomy is aware that which of the following symptoms indicates a postoperative complication:
A) Swelling of the neck
B) Uncontrolled hypertension
C) Increase in neurologic deficits
D) Pain at the site of the endarterectomy
Ans: C
Feedback: The neurosurgeon is notified immediately if a neurologic deficit develops. Formation of a thrombus at the site of the endarterectomy is suspected if there is a sudden increase in neurologic deficits, such as weakness on one side of the body. Some swelling in the neck after surgery is expected; however, if large enough, swelling and hematoma can obstruct the airway. It is important to maintain blood pressure levels; hypotension is avoided to prevent cerebral ischemia and thrombus. Uncontrolled hypertension may precipitate cerebral hemorrhage and edema. Some pain is expected at the endarterectomy site, but the area must be closely monitored for infection or hematoma.
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