After observing streaks of bright-red blood in a patient's stool post-bedpan use, what should the nurse do first?

In the context of observing bright-red blood in a patient's stool, the first step for the nurse is to gather relevant information that could explain the finding. Asking if the patient has a history of hemorrhoids is a logical and immediate course of action. Hemorrhoids can often cause bright-red blood in the stool, and understanding the patient’s history may help clarify whether this is a common issue for the individual or if it could indicate a more serious condition.

While checking the medical record for a history of blood in the stool, notifying the healthcare provider, and documenting the finding are all important steps in patient care, they typically follow the initial assessment. Gathering direct information from the patient enables the nurse to make informed decisions on how to proceed, including whether to escalate the situation to the healthcare provider. Engaging with the patient directly allows for a clearer understanding of potential causes and supports a more patient-centered approach to care.