A nurse is taking care of a patient with post carotid endocardiectomy. What parameters should the nurse examine in the patient for neurological assessment in 1 to 2 hour post-op period?
  1. Level of consciousness, response to verbal command, motor reflexes, level of sensation, pupil size, and reaction to light
  2. Level of consciousness, vocal cord functioning, reflexes, motor strength, level of sensation, pupil size, and reaction to light
  3. Level of consciousness, response to painful stimuli, tendon reflexes, motor strength, pain and temperature sensation, and reaction to light
  4. Level of consciousness, vocal cord functioning, reflexes, motor strength, level of sensation, field of vision of both eyes, and reaction to light
Explanation
Answer- B - The nurse should examine the following parameters in the patient for neurological assessment in 1 to 2 hour post-op period: level of consciousness, vocal cord functioning, reflexes, motor strength, level of sensation, pupil size, and reaction to light. Neurological should be made every 1 to 2 hours to ensure the patient is stable.
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