Difficulty: Medium
Average Score: 69%
Simulated
A nurse is caring for a child who is 2 hr postoperative. Which of the following actions should the nurse take first?
Correct answer
D
Rationale
The correct answer is D: Compare the child's pedal pulses. This is the first action to take postoperatively to assess circulation and perfusion status. Checking pedal pulses helps determine blood flow and potential complications like thrombosis. Assessing pain (A) can come after ensuring adequate circulation. Rechecking temperature (B) is not a priority unless there are specific concerns. Determining sedation level (C) may be relevant, but assessing circulation takes precedence.