Home » NCLEX » NCLEX-PN » Which of the following actions should a nurse take first for a client who has just vomited 300 cc of bright red blood?
Which of the following actions should a nurse take first for a client who has just vomited 300 cc of bright red blood?
A. Document the vomiting.
B. Increase the IV fluids.
C. Get a complete blood count.
D. Check the blood pressure.
Correct Answer: D
Explanation/Reference:
Explanation:
The blood pressure should be checked first for a client who has just vomited 300 cc of bright red blood, to determine whether the client is hypotensive.
The other actions can be taken later.Reduction of Risk Potential
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