The nurse is admitting a client who is vomiting bright red blood to the emergency department. Which of the following assessments should the nurse perform first?
A)Checking the level of consciousness
B)Measuring the quantity of any emesis
C)Auscultating the chest for breath sounds
D)Taking the blood pressure (BP) and pulse

Question

Quizplus · Accepted Answer

The nurse is concerned about blood loss and possible hypovolemic shock in a client with acute gastrointestinal (GI) bleeding; BP and pulse are the best indicators of these complications. The other information also is important to obtain, but BP and pulse rate are the best indicators for hypoperfusion.

The Nurse Is Admitting a Client Who Is Vomiting Bright