What should a nurse do first when a client returns from post-anesthesia care after a subtotal thyroidectomy?

When a client returns from post-anesthesia care after a subtotal thyroidectomy, one of the most critical considerations is ensuring the airway is secure. The surgery involves the thyroid gland, which is located in the neck and has considerable vascular and anatomical relationships with surrounding structures, including the trachea. There is a potential for swelling or hemorrhage that could obstruct the airway, making the presence of emergency equipment essential.

By placing a tracheostomy set at the bedside, the nurse is preparing for any potential emergency situation that could arise, such as airway compromise. This proactive step ensures quick access to life-saving equipment should the need arise, thus prioritizing the client's safety and the protection of their airway, which is paramount in the immediate postoperative setting.

Other considerations, such as checking vital signs or administering pain medication, are certainly important but can come after ensuring that emergency equipment is readily available. The immediate focus should be on airway safety given the high risk of complications associated with thyroid surgery.