Final answer:
A nurse should monitor for voice changes, seizure activity, disorientation, dysphagia, and neck pain following surgical implantation of a VNS device.
Step-by-step explanation:
When planning care for a client following surgical implantation of a vagus nerve stimlation (VNS) device, the nurse should monitor for several adverse effects. These include: voice changes, seizure activity, disorientation, dysphagia, and neck pain.
Voice changes may occur due to the proximity of the vagus nerve to the vocal cords. Seizure activity can be a potential side effect of the VNS device. Disorientation may occur as a result of the surgical procedure and anesthesia. Dysphagia, or difficulty swallowing, is a possible complication due to the location of the device near the throat. Neck pain can arise due to the surgical incision and manipulation of tissues during the implantation.