A patient who is unconscious begins to vomit blood. What action should the nurse take first?
a. Turn patient onto side.
b. Use water to rinse out mouth.
c. Provide oral care to the patient.
d. Administer antiemetic medication.
ANS: A
If vomiting occurs, turn the patient onto his or her side to protect the airway and prevent aspiration. B. The patient is unconscious so water should not be placed into the patient's mouth. C. Oral care can be done after the airway has been protected. D. Antiemetic medication requires a physician's order which may or may not be available at this time.
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