Passage / Scenario

NursesÔÇÖ Notes
Medical History
Preoperative
0730:
Client is scheduled for a left stapedectomy.
Pupils 3.5 mm, equal, round, and reactive to light.
Smile symmetrical.
Mucous membranes show color expected for client's skin tone and moist.
Speech clear.
Skin warm and dry.
Lungs clear bilaterally.
Apical heart rate regular at 78/min.

Postoperative
1230:
Pupils 3 mm, equal, and reactive to light.
Smile asymmetrical.
Mucous membranes pink.
Speech hoarse.
Client with left facial droop.
Skin warm and dry.
Client reports vertigo and nausea.
Bilateral breath sounds clear and present throughout.