A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first?

Postoperative care following a tonsillectomy requires close monitoring for hemorrhage, which is one of the most serious complications in children. Early signs of bleeding may be subtle and include frequent throat clearing, swallowing, restlessness, or changes in behavior before visible blood is seen. Because the surgical site is highly vascular, prompt assessment is essential when any concerning symptom arises. Nursing priorities focus on airway safety, early detection of bleeding, and prevention of aspiration. Rationale: A. Giving the child small sips of water is not the priority because oral intake may worsen bleeding or trigger swallowing of blood if hemorrhage is present. Fluids are usually introduced only after assessment confirms no active bleeding. Immediate assessment should occur before encouraging oral intake. B. Administering an analgesic is important for comfort but is not the first action when bleeding is suspected. Pain control should not take priority over evaluating a potential postoperative hemorrhage. Addressing safety concerns such as bleeding risk must come first before symptom relief. C. Observing the child’s throat with a flashlight is the correct first action because frequent throat clearing may indicate bleeding at the surgical site. Direct visualization helps determine if there is active hemorrhage or clot disruption. Early identification of bleeding is critical to prevent airway compromise and allow immediate intervention. D. Offering an ice collar may help reduce swelling and provide comfort but does not address the priority concern of possible bleeding. Supportive measures like cold therapy are appropriate only after assessment rules out complications. Safety assessment must always precede comfort interventions in this situation.