Final answer:
A nurse should monitor for disorientation and neck pain as adverse effects of VNS device implantation, along with other potential side effects such as agitation, anxiety, and sleep problems.
Step-by-step explanation:
A nurse planning care for a client following the surgical implantation of a Vagus Nerve Stimulation (VNS) device should monitor for various potential adverse effects. VNS devices are used primarily for the treatment of epilepsy and depression, and while they can significantly help manage these conditions, certain side effects may occur due to the electrical stimulation of the vagus nerve. Among these, the nurse should particularly watch for signs of disorientation and neck pain, as these are commonly reported adverse effects.
Additional concerns during recovery that the nurse should be aware of include agitation, anxiety, sleep problems, nausea and vomiting, abnormal heart rhythms, low blood pressure, and muscular problems. Monitoring and managing these effects proactively is crucial for the patient's recovery and ongoing health after the procedure. By working closely with surgeons and anesthesia professionals, the nurse can help ensure a safe and effective recovery for the patient.