What is the initial action the nurse should take for a COPD patient exhibiting agitation and confusion?

The most appropriate initial action for a COPD patient exhibiting agitation and confusion is to assess oxygenation using pulse oximetry. This step is crucial because agitation and confusion can often be symptoms of hypoxemia or inadequate oxygenation, which is particularly common in patients with chronic obstructive pulmonary disease due to their already compromised respiratory function.

By measuring the patient's oxygen saturation levels, the nurse can quickly determine if low oxygen levels are contributing to the patient's confusion and agitation. If hypoxemia is detected, appropriate interventions such as oxygen administration or adjusting mechanical ventilation settings can be initiated promptly to address the underlying issue. Ensuring adequate oxygenation is essential for stabilizing the patient and preventing potential complications from worsening respiratory distress.

Other actions, while important, may not address the immediate need for evaluation of oxygen levels. Notifying the healthcare provider might be necessary afterward but does not directly resolve the acute issue at hand. Attempting to calm and reorient the patient may be beneficial but does not address possible physiological causes of their symptoms. Observing for facial symmetry is more related to assessing potential neurological issues than addressing the respiratory status of a COPD patient.