A client recovering from a right sided carotid endarterectomy is ...

[khang]

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.)
 
  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

Question 2

The nurse is asked by the client with multiple sclerosis (MS) to explain the cause of MS, because there is no family history of it in the client's family. What should the nurse explain to the client?
 
  1. It is an auto-recessive gene that causes the disease.
  2. It is thought that a viral infection causes an autoimmune response.
  3. The disease tends to follow from a strep infection.
  4. The disease is caused by poor eating habits and obesity.

[sokh]

Answer to Question 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.

Answer to Question 2

Answer: 2

1. MS is not a genetic disease.
2. MS is thought to be triggered by a viral infection that triggers an autoimmune response.
3. Glomerulonephritis is a complication of a strep infection.
4. Risk factors for MS do not include obesity and poor eating habits.

[khang]

Thank you

[sokh]

No problemo