The practical nurse (PN) is caring for a client recovering from abdominal surgery. Which action should the PN take first?

A. Order supplies for a dressing change: Obtaining supplies is part of routine postoperative care but is not the first priority. Before any intervention, the PN must ensure the client’s vital functions, airway, breathing, and circulation, are stable. B. Monitor cardiorespiratory status: Following abdominal surgery, the greatest immediate risk is respiratory compromise due to anesthesia, pain, or immobility. Monitoring the client’s breathing and cardiac function is the first priority to detect hypoxia, respiratory depression, or hemodynamic instability early. C. Assess the client’s pain level: Pain assessment is important for comfort and to encourage deep breathing and mobility. However, cardiorespiratory monitoring takes precedence, as it ensures life-sustaining stability before addressing discomfort. D. Provide an incentive spirometer: Promoting lung expansion is beneficial in preventing postoperative atelectasis, but the PN must first confirm adequate respiratory status before instructing or assisting with incentive spirometry.