If a client who is 24 hours postoperative suddenly develops chest pain and dyspnea, what is the first action the nurse should take?

In the scenario where a 24-hour postoperative client suddenly develops chest pain and dyspnea, elevating the head of the client's bed is a crucial first action. This maneuver can provide immediate relief to the client by improving lung expansion and facilitating easier breathing, thereby addressing the symptoms of dyspnea. Elevation can help reduce the workload on the heart and improve oxygenation, which is critical in the context of postoperative complications such as pneumonia, pulmonary embolism, or fluid overload.

Addressing airway and breathing issues promptly is a priority in nursing care, particularly after surgery when patients may be at increased risk for respiratory distress. By providing an elevated position, the nurse is directly responding to the urgent need for better respiratory function while preparing to take further actions, such as vital sign assessment or notifying the healthcare provider. This immediate intervention can buy valuable time while other evaluations and treatments are being implemented.