What is the first assessment a PACU nurse should perform on a client transferred from the operating room?

In the Post Anesthesia Care Unit (PACU), the primary focus immediately upon the transfer of a client from the operating room is ensuring a patent airway. This is critical because the client may still be under the effects of anesthesia, which can depress the respiratory system and compromise airway patency. Assessing the airway is vital for preventing hypoxia and ensuring that the patient can breathe effectively.

When a client is transferred to the PACU, the nurse needs to quickly determine whether the airway is clear and unobstructed. If the airway is compromised, immediate interventions, such as repositioning, suctioning, or supplemental oxygen, can be initiated. This airway assessment is essential, as it lays the groundwork for evaluating the client's overall respiratory status and readiness for recovery.

Other assessments, such as checking for active bowel sounds, ensuring adequate urine output, or orienting the client to their surroundings, although important, come after ensuring that the patient can breathe adequately. If the airway is not clear, the risk of complications increases, overshadowing the need for additional assessments.