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A patient in the PACU has the following vital signs: temperature 35.9°C, heart rate 90 bpm, respirations 14/min, and blood pressure 128/90 mmHg. The patient is not yet fully conscious after general anesthesia. What should the nurse do first?

A.Observe the surgical dressing for drainage or bleedingB.Position the patient on the right side (lateral recovery position)C.Remove the oral airway remaining from surgeryD.Administer a sedation reversal agent such as flumazenil

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