The nurse enters the room of a patient who is moaning loudly and thrashing around in bed. What action should the nurse take first?
a. Ask the patient to quiet down.
b. Ask the patient what is wrong.
c. Go and get a dose of the patient's prn pain medication.
d. Administer a sedative, and then assess the patient's pain after it has taken effect.
ANS: B
Assessment is always the first step in the problem-solving process. A. C. D. Asking the patient to quiet down or administering a medication first both skips the assessment stage.
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