A patient returns to the post-anesthesia care unit (PACU) after an arthroscopy to repair a shoulder injury. What is the nurse’s priority when caring for this patient?

Choice A reason: Elevating and immobilizing the affected arm may be part of the postoperative protocol, but it is not the immediate priority. These actions help reduce swelling and prevent further injury, but they do not address potential complications that could arise immediately after surgery. Choice B reason: Ensuring proper use of the PCA pump is important for pain management, but it is not the first priority. Pain control is secondary to assessing for life- or limb-threatening complications such as neurovascular compromise. Choice C reason: Instructing the patient to stay in bed for 24 hours is not evidence-based for arthroscopic shoulder procedures. Early mobilization is often encouraged to prevent complications such as deep vein thrombosis and to promote recovery. Choice D reason: Checking the neurovascular status of the affected arm is the priority because it helps detect early signs of compartment syndrome, nerve injury, or vascular compromise. This includes assessing circulation, sensation, and movement, which are critical to preserving limb function and preventing permanent damage.