In response to Mr. Clinton's increasing pain and nausea, what assessment should the nurse perform first?

Reassessing the wound site is crucial in understanding Mr. Clinton's increasing pain and nausea because it helps identify any changes or complications related to his condition. Pain can often be a sign of an underlying issue, like infection or other injury-related complications. By examining the wound, the nurse can determine if there are signs of worsening, such as increased redness, swelling, or drainage, which could necessitate immediate intervention.

While other options provide potential avenues for addressing Mr. Clinton's discomfort, the priority must be to accurately assess the root cause of the symptoms. Without knowing whether the wound itself is the source of the pain or if there are issues arising from it, addressing the symptoms might result in missing an opportunity for timely medical intervention. Taking the time to conduct a thorough assessment ensures that any actions taken afterward—such as pain management or communication with a provider—are based on a comprehensive understanding of Mr. Clinton's condition.