A patient had surgery 6 hours ago. When the nurse enters the room to turn him, she notes that he is restless and grimacing. Considering the patient's nonverbal communication, what action should the nurse take first?
1) Administer pain medication to the patient.
2) Turn and reposition the patient.
3) Assess to determine the cause of the grimacing.
4) Leave the patient's room so he can rest quietly.
ANS: 3
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