A client recovering from a right sided carotid endarterectomy is returning to the care area. What care should the nurse provide for this client? (Select all that apply.)

Question

1. Assess respiratory rate
2. Position on the left side
3. Monitor for shoulder sag
4. Assess the wound for drainage
5. Monitor blood pressure every 8 hours

Answer 1

Answer: 1, 2, 3, 4

1. After a carotid endarterectomy the client should be monitored for respiratory distress by assessing respiratory rate, rhythm, depth, and effort. A tracheostomy set should be kept at the bedside.
2. After a carotid endarterectomy the client should be positioned on the nonoperative side with the head and neck in midline alignment and either maintain a flat position or elevate the head of the bed 30 degrees as ordered.
3. After a carotid endarterectomy the client should be monitored for cranial nerve impairment by assessing for shoulder sag.
4. After a carotid endarterectomy the client should be monitored for hemorrhage by assessing the wound and the area under the neck and shoulders for drainage.
5. After a carotid endarterectomy the client should be monitored for hypo- or hypertension by assessing blood pressure hourly.