A patient who had recent abdominal surgery is becoming increasingly agitated and confused. He has pulled out his IV and his nasogastric tube. His skin is pale and clammy, heart rate 120 bpm, BP 130/60. The physician has been called. What nursing action is
a. Gather needed supplies and assign the aide to remain with the patient.
b. Stay with the patient and have another nurse obtain needed supplies.
c. Administer pain medication and then recheck vital signs.
d. Assign the aide to retake vital signs every 15 minutes.
ANS: B
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