The nurse is caring for a client with peptic ulcer disease who reports sudden onset of sharp abdominal pain. On palpation, the client's abdomen is tense and rigid. What action takes priority?
a. Administer the prescribed pain medication.
b. Notify the health care provider immediately.
c. Percuss all four abdominal quadrants.
d. Take and document a set of vital signs.
ANS: B
This client has manifestations of a perforated ulcer, which is an emergency. The priority is to get the client medical attention. The nurse can take a set of vital signs while someone else calls the provider. The nurse should not percuss the abdomen or give pain medication since the client may need to sign consent for surgery.
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