Difficulty: Medium
Average Score: 65%
Simulated
A nurse is caring for a client who had abdominal surgery. The client is grimacing and has a respiratory rate of 24/min. Which of the following actions should the nurse take first?
Correct answer
A
Rationale
The correct answer is A, checking the client's current level of pain. This is the priority because the client is grimacing, indicating discomfort. Assessing the pain level is crucial in determining the appropriate intervention. It helps in providing timely pain relief and ensuring the client's well-being. Choices B, C, and D are incorrect because they do not address the immediate need of assessing and managing the client's pain. Playing music, repositioning the client, or offering a cold compress may be helpful interventions, but they should come after evaluating the client's pain level.