1 day ago:
History of hypertension, atrial fibrillation, and coronary artery disease. Client admitted for monitoring after multiple episodes determined to be transient ischemic attacks.
Today, 0600:
Client transported to the surgical suite for open carotid embolectomy and carotid stent placement. 1 day ago:
Alert and oriented. No facial droop. Moves all extremities, left hand grasp slightly weaker than right. Reports dizziness. Trace bilateral lower extremity edema. Heart sounds S1 S2. Lung sounds clear bilaterally. Occasional non-productive cough.
Today, 1300:
Client is 4 hr postoperative. Resting in semi-Fowler's position with head midline. Client is arousable to minor stimulation. Oriented to person, place, and time. Speaks softly. Reports a slightly sore throat and states they feel pressure in their neck, rated at 6 on a scale of 0 to 10. Bilateral edema noted to the neck, dressing to the right side of neck dry and intact, trachea slightly deviated to the left. Telemetry in place. Normal sinus rhythm with occasional premature ventricular contractions (PVCs). Moves all extremities with equal strength. Tolerating sips of clear liquids. Sequential compression devices in place to lower extremities bilaterally. Assisted client with urinal to void.
1 day ago:
Temperature 37.4° C (99.3° F)
Heart rate 107/min
Respiratory rate 22/min
Blood pressure 159/94 mm Hg
Oxygen saturation 96% on room air
Today, 1300:
Temperature 37.4° C (99.3° F)
Heart rate 97/min
Respiratory rate 24/min
Blood pressure 132/86 mm Hg
Oxygen saturation 95% on 4 L/min via nasal canula
1 day ago:
Carotid ultrasound: Arterial stenosis of 95% to right carotid and 75% to left carotid. Complete the following sentence by using the lists of options.
The nurse should determine that the client is at greatest risk for
Select...
due to
Select...
.