In Scenario #4 for Nathaniel Gonzalez, what immediate action was indicated?

In this scenario, giving a liter bolus of normal saline (NS) is the immediate action indicated. This measure is typically employed in cases where a patient may be experiencing hypovolemia or dehydration, which can lead to a decline in blood pressure, reduced urine output, or altered mental status. Administering a fluid bolus helps to rapidly restore intravascular volume and improve hemodynamic status.

The decision to provide a liter of NS is often guided by the patient's clinical presentation, which may suggest inadequate fluid volume. Replenishing fluids can help to stabilize the patient, promote perfusion to vital organs, and mitigate symptoms associated with low blood volume.

Other options, while potentially relevant in different contexts, do not address the urgent need for fluid resuscitation as effectively. Restarting an IV might be necessary for ongoing medication administration but does not immediately address volume status. Elevating the head of the bed (HOB) can help with respiratory distress or comfort but doesn't solve underlying circulation issues. Assessing pain level is crucial for overall management but is not an immediate measure to rectify a fluid imbalance. Therefore, administering a liter bolus of normal saline is prioritized as the correct immediate action to take in this scenario.