Following brain tumor removal surgery, which duty should the nurse prioritize when a client shows symptoms of distress?

Prioritizing the activation of the Rapid Response Team (RRT) is crucial in this scenario because it allows for immediate action by a specialized group of healthcare providers who can assess and intervene swiftly. After a brain tumor removal, complications such as changes in consciousness, signs of increased intracranial pressure, or cardiopulmonary distress can arise suddenly and require prompt medical attention. The RRT is designed to provide critical support in emergency situations, ensuring that the client receives timely evaluation and potentially life-saving interventions.

In contrast, notifying the neurosurgeon is important, but it may introduce delays in care while waiting for the surgeon's response. Placing the client in the Trendelenburg position, which involves laying the client supine with the legs elevated, is not appropriate for all types of distress, particularly neurological distress, as it can increase intracranial pressure rather than decrease it. Consulting with the neurologic Clinical Nurse Specialist (CNS) may be beneficial for ongoing management but is not as immediate as activating the RRT when the client exhibits acute distress. Thus, calling the RRT is the most effective and immediate action to take in this critical situation.