The client has just arrived in the recovery room. As part of the evaluation for determining discharge from the postanesthesia recovery unit, the nurse's next action will be to:
1. Assess the client for respirations, oxygen saturation, consciousness, circulation, and activity.
2. Assess the client for pain.
3. Assess whether the client wants the family in the recovery room.
4. Take the client's temperature.
Assess the client for respirations, oxygen saturation, consciousness, circulation, and activity.
Rationale: Assessing the client's respirations, oxygen saturation, consciousness, circulation, and activity are all used to determine the client's progress toward discharge. Assessing the client for pain helps the client's comfort but is not part of the discharge criteria. The family may be allowed in the recovery room in many institutions, but their presence is usually delayed until the client has been assessed and is arousable. Temperature is vital to assessing hypothermia, but is not included as part of the discharge criteria.
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