Mr. L., a 62-year-old patient with advanced pancreatic cance…
Mr. L., a 62-year-old patient with advanced pancreatic cancer, is admitted with complaints of severe abdominal pain, nausea, and jaundice. He has a biliary stent in place and is receiving IV fluids and morphine via PCA.On morning assessment, the nurse finds the following:Vitals: BP 90/58, HR 122, RR 24, Temp 101.1°F, O₂ sat 93%Patient reports 9/10 abdominal pain despite frequent PCA useScleral icterus and pruritus notedUrine is dark, and stool is clay-coloredIV site appears swollen and red with sluggish infusionFamily reports the patient has been more confused overnightWhich nursing action should the nurse take first?