A client with a history of peptic ulcer disease is admitted for hematemesis associated with gastric bleeding. Which is the most appropriate action of the nurse?
A) Administer oxygen.
B) Increase intravenous flow rate.
C) Prepare for nasogastric irrigations.
D) Lower the head of the bed.
C
Feedback:
Hemorrhage with peptic ulcer disease is initially handled through cold saline lavage via nasogastric tube. Increasing the IV rate is not a nursing measure. Administering oxygen is not indicated unless the client is experiencing respiratory difficulties. While having hematemesis, the head of the bed would remain elevated to avoid risk for aspiration.
You might also like to view...
The nurse is preparing a newborn for a circumcision. Which of the following data would be important for the nurse to report to the physician prior to the procedure?
1. The mother took anticoagulants prenatally. 2. The mother is breastfeeding the newborn. 3. The newborn's Apgar scores were 8 and 9. 4. The newborn has had six wet diapers within the last 12 hours.
A patient diagnosed with exudative macular degeneration reads as primary recreation. What should the nurse suggest to this patient?
1. Obtain books on tape or CD. 2. Find another activity that does not require reading. 3. Spend more time with friends and family. 4. Listen to music instead of watching so much television.
The nurse has been promoted to the role of manager for a client care area. What responsibilities of the nurse will this new role include?
1. Accomplish the goals of the organization. 2. Use the organization's resources efficiently. 3. Ensure effective client care. 4. Ensure compliance with regulatory standards. 5. Manage relationships.
There are several phases of Healthy Cities and Communities Strategies. The Action Phase refers to:
1. Developing a detailed work plan 2. Conducting a primary assessment of the community 3. Encouraging politicians and other decision makers to commit to community ca-pacity building 4. Developing a strategic plan