A postoperative patient rapidly presents with hypotension; rapid, thready pulse; oliguria; and cold, pale skin. The nurse suspects that the patient is experiencing a hemorrhage. What should be the nurse's first action?
A) Leave and promptly notify the physician.
B) Quickly attempt to determine the cause of hemorrhage.
C) Begin resuscitation.
D) Put the patient in the Trendelenberg position.
Ans: B
Feedback:
Transfusing blood or blood products and determining the cause of hemorrhage are the initial therapeutic measures. Resuscitation is not necessarily required and the nurse must not leave the patient. The Trendelenberg position would be contraindicated.
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