Following evacuation of a subdural hematoma, which assessment should the nurse prioritize?

Following the evacuation of a subdural hematoma, the primary concern is ensuring the patient's respiratory status is stable. The procedure can significantly impact multiple systems, particularly in patients with increased intracranial pressure. Assessing respiratory status is crucial because any compromise in breathing can indicate complications, such as brain herniation or damage to areas of the brain that control respiration.

Maintaining adequate respiratory function is critical for oxygenation and preventing hypoxia, which can exacerbate neurological deficits. Moreover, changes in respiratory patterns can provide early warning signs of deteriorating neurological conditions. Therefore, prioritizing respiratory status facilitates timely interventions to prevent further complications following the surgery.

While cognitive function, neurological reflexes, and heart rate are important assessments, they typically come after ensuring that the patient can adequately breathe and maintain oxygenation. Monitoring respiratory status is vital in the immediate postoperative phase, making it the most appropriate choice in this scenario.