A client with peptic ulcer disease has developed upper gastrointestinal bleeding. The client complains of chills and, on assessment, the nurse notes the following: diaphoresis, a pulse of 94 and thready, and blood pressure of 100/50
What is the nurse's priority action? A. Document the finding as the only action.
B. Notify the health care provider.
C. Increase the flow rate of the intravenous fluids.
D. Place the client on the side in the left lateral decubitus position.
B
The development of major bleeding, as manifested by symptoms of shock, is an emergency that requires intervention. The nurse should notify the health care provider immediately in order to institute treatment.
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