After a client has an evacuation of a subdural hematoma, what should the nurse check first?

After a client has undergone an evacuation of a subdural hematoma, the priority for the nurse is to assess the oxygenation status of the patient, which is why oximeter readings should be checked first. This assessment is crucial because the procedure involves significant risks, including potential airway compromise or respiratory distress due to changes in neurological status.

Monitoring oximeter readings helps ensure that the patient is adequately oxygenated, as hypoxia can manifest rapidly and can have immediate consequences for brain function, especially following a neurosurgical intervention.

Checking pupil reaction and extremity movement also provides valuable information about neurological status; however, these assessments can be impacted by sedation or other factors post-surgery. Blood pressure is important as well, particularly in assessing for possible complications such as hemorrhage. Still, the immediate priority post-operatively usually revolves around securing oxygenation status.