A nurse is caring for a 6-year-old male client in the post-anesthesia care unit (PACU). Exhibits Which findings indicate that the client may be experiencing a complication following the tonsillectomy?Select all that apply.

Choice A rationale: A blood pressure of 105/64 mm Hg is within the normal range for a 6-year-old child and does not indicate a complication. Hypotension would be a concern if there were significant blood loss, but this value does not suggest hemodynamic instability. Therefore, this finding is not indicative of a post-tonsillectomy complication. Choice B rationale: A heart rate of 124/min is elevated compared to the earlier reading of 115/min and may indicate distress or compensatory tachycardia due to pain or bleeding. Increased heart rate can be an early sign of hemorrhage, which is a known complication following tonsillectomy. Monitoring for further changes is critical. Choice C rationale: One small emesis with dark brown blood is not necessarily abnormal after tonsillectomy, as it may represent swallowed blood from the surgical site. Bright red blood or repeated emesis would be more concerning for active bleeding. This finding alone does not confirm a complication. Choice D rationale: Throat pain rated as 8/10 is expected following tonsillectomy and does not necessarily indicate a complication. Pain management is essential, but this finding alone does not suggest an abnormal postoperative course. Choice E rationale: Frequent throat clearing and swallowing are concerning signs that may indicate active bleeding at the surgical site. These behaviors suggest the child is attempting to manage secretions, which could include blood. This finding warrants immediate evaluation to rule out hemorrhage. Choice F rationale: A temperature of 37°C (98.6°F) is normal and does not indicate infection or other complications. Fever would be a more concerning sign of infection or systemic response. Choice G rationale: Restlessness is a nonspecific but concerning sign that may indicate discomfort, pain, or distress due to bleeding. Combined with other findings, such as frequent swallowing and tachycardia, restlessness supports the possibility of a complication requiring further assessment