A nurse cares for a client who presents with tachycardia and prostration related to biliary colic.Which actions should the nurse take? (Select all that apply.)

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Clients who are experiencing biliary colic may present with tachycardia,pallor,diaphoresis,prostration,or other signs of shock.The nurse should stay with the client,lower the client's head,and contact the provider or Rapid Response Team for immediate assistance.Treatment for shock usually includes intravenous fluids; therefore,decreasing fluids would be an incorrect intervention.The client's tachycardia is a result of shock,not pain.Performing the vagal maneuver or administering opioids could knock out the client's compensation mechanism.

A Nurse Cares for a Client Who Presents with Tachycardia