The Nurse Is Assigned to Assist in Caring for a Client

The nurse is assigned to assist in caring for a client who recently returned from the operating room (OR) . On data collection, the nurse notes that the client's vital signs are blood pressure (BP) , 118/70 mm Hg; pulse, 91 beats/min; and respirations, 16 breaths/min. Preoperative vital signs were BP, 132/88 mm Hg; pulse, 74 beats/min; and respirations, 20 breaths/min. Which of the following actions should the nurse plan to take first?

A) Shake the client gently to arouse.
B) Call the surgeon immediately.
C) Cover the client with a warm blanket.
D) Recheck the vital signs in 15 minutes.