Final answer:
Initially, gather more information when actions are unclear before proceeding with a response that may involve consulting with others or reporting the issue if warranted.
Step-by-step explanation:
When encountering a situation in which the correct action is unclear, the initial response should be to gather more information about the situation.
Quick assumptions or independent actions without consultation can lead to misunderstandings or exacerbate the problem.
Using your prior knowledge of the situation and common sense is key, but be sure to couple that with a fact-based understanding of the actions taken by the staff nurse.
Only after understanding the full context should you proceed with a response, which may include consulting with others or reporting the issue if necessary.