A nurse is preparing a client for surgery and has just administered the preoperative intravenous anxiolytic. Which of the following actions should the nurse take?

Choice A reason: Taking the client to the bathroom after administering an anxiolytic is unsafe because the medication causes sedation and increases fall risk. Voiding should be encouraged before administration. Choice B reason: Asking the client to verify the surgical site after sedation is inappropriate because the client may not be fully alert or capable of informed verification. This should be done before medication administration. Choice C reason: Reviewing deep breathing and coughing exercises requires the client’s full attention and comprehension, which may be impaired after anxiolytic administration. Teaching should occur before sedation. Choice D reason: Raising the side rails is the correct action. After receiving an anxiolytic, the client is at risk for drowsiness, confusion, and falls. Side rails ensure safety and prevent injury.