Upon noting a new onset of abdominal itching in Hannah, what should be the first nursing action?

When a patient like Hannah presents with a new onset of abdominal itching, the first nursing action involves assessing the affected area. This initial assessment is crucial as it helps to identify any visible signs of a rash, hives, or other dermatological conditions, and also aids in determining the severity of the itching. Understanding the characteristics of the itching—such as whether it is localized or widespread, if there are accompanying symptoms like redness or swelling, or any changes in skin integrity—can guide further action and interventions.

Assessing the abdomen allows the healthcare provider to gather vital information that can inform potential diagnoses. It also plays a pivotal role in ruling out other causes of discomfort and helps to prioritize subsequent interventions, such as whether medication or physician notification is immediately needed based on findings.

While other actions, such as notifying the physician, administering medication, or documenting findings, are important, they should be based on the results of the initial assessment. This systematic approach ensures that patient care is thorough and evidence-based. Therefore, conducting a focused assessment is the logical and necessary first step in managing the situation effectively.