You are the nurse providing post-operative care for a 9 year old boy who is 6 hours post- tonsillectomy. He is sleeping, but on routine observation you notice that his pulse has increased, he seems to be restless and trying to swallow frequently. Your immediate action would be:

A Apply an ice collar to reduce discomfort
B Allow child to keep sleeping and record observations
C Wake him and offer some ice chips to suck
D Check inside his mouth for any signs of bleeding and notify the physician

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