Marie is scheduled for a carotid endarterectomy. She is scheduled to see you for preoperative teaching. You also explain to her what she can expect in the postoperative and recovery phases of her surgery
a. What type of surgery can she expect?
b. What does this type of surgery entail?
c. What nursing interactions can be expected to be done with this type of surgery?
Students' answers should include the following:
a. Incision in the left or right side of the neck with removal of the plaque buildup in the vessel removed and a mesh type appliance placed to prevent the vessel wall from rupturing
b. Plaque buildup along with other buildup is removed from the vessel. The vessels along with muscle and tissue are sewn up by layers and sterile dressing is applied.
c. She will be watched for swallowing, LOC, and B/P among other physical assessments and neurologic status.
Turning, coughing and deep breathing, medications, and wound care
Facial expression, nerves and muscles will also be watched for any deficiencies due to the nature of the surgery.
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