Which finding is concerning to a hospice nurse regarding a patient's pain management?

A hospice nurse's primary focus is on managing pain and ensuring comfort for patients at the end of life. Abdominal pain with no medication is particularly concerning because it indicates that the patient is experiencing distress without any means to alleviate it. In hospice care, it is crucial to address pain promptly to enhance the quality of life for patients, and the absence of prescribed medication suggests an inadequacy in pain management, which should be a top priority.

Effective pain management is essential in hospice settings, as patients often have varying degrees of pain due to their conditions, and timely intervention can significantly improve their overall comfort and emotional well-being. The other aspects, such as having prescribed medication for pain relief, stable vital signs, and emotional wellness, typically indicate a more favorable situation regarding the patient's overall condition and pain management strategy.