During the admission interview, when asked about pain, the patient responds, "No. I'm pretty wobbly." Which action by the nurse would be most appropriate?
a. Ask, "Did you hear me? I asked you about pain."
b. Say, "What do you mean ‘wobbly'?"
c. Record the patient denied pain.
d. Record the patient stated he was wobbly.
B
The nurse should ask for clarification if unsure of what is meant by one of the patient's res-ponses.
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