The nurse is caring for a client who has been brought to the emergency department with upper GI bleeding. The client is vomiting copious amounts of bright red blood. Which is the nurse's priority action?
a. Ensure that the client has a patent airway.
b. Start a normal saline IV infusion.
c. Gather equipment to start a saline lavage.
d. Assess the client for causative factors.
A
Airway always comes first. The client must have a patent airway. The client does need an IV and a saline lavage via nasogastric (NG) tube, but these actions are not as important as maintaining the airway. Assessing for causative factors will be important after the client has stabilized.
You might also like to view...
A patient has started a fitness program. What program features illustrate that he has started a well-rounded program? Select all that apply
a. Flexibility b. Balance exercises c. Resistance training d. Aerobic conditioning
Which disorder is a dysfunction of cell-mediated immunity?
a. Acute idiopathic polyneuritis b. Acquired immunodeficiency syndrome c. Epstein-Barr virus (EBV) mononucleosis d. Systemic lupus erythematosus (SLE)
A nurse is preparing to administer a Schedule II medication to a client. Which actions are part of this process? (Select all that apply.)
a. Cosign the medication with a physician. b. Witness any wasted medication with another registered nurse. c. Access the medication from a single locked cabinet. d. Ensure that two nurses check the dosage. e. Ensure that two nurses sign the medication record. f. Assess the client's response to the medication.
A. patience in communicating with patients and staff
b. an openness to change and willingness to learn from failure. c. immediately offering ideas and solutions when questions are raise d. d. taking a great deal of time to research and evaluate potential b. an openness to change and willingness to learn from failure. c. immediately offering ideas and solutions when questions are raised. d. taking a great deal of time to research and evaluate potential solutions to problems.