A nurse is caring for a patient who has gastrointestinal bleeding. Which of the following actions should the nurse take first?
Assess orthostatic blood pressure.
Administer pain medication.
Explain the procedure for an upper gastrointestinal series.
Test the patient’s emesis for blood.
The Correct Answer is A
The first action the nurse should take when caring for a patient with gastrointestinal bleeding is to assess orthostatic blood pressure. This can help determine the extent of the patient’s blood loss and whether they are experiencing hypovolemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
An abnormal absolute neutrophil count in a preschooler should be reported to the healthcare provider immediately. Neutrophils are a type of white blood cell that play a key role in the body’s immune response. An abnormal count could indicate an infection, inflammation, or other serious health conditions.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
Sensation of pressure is a common symptom of urinary retention due to prostatic hypertrophy.
Choice B rationale
Dysuria, or painful urination, can occur due to the enlarged prostate pressing against the urethra.
Choice C rationale
Bladder distension is a result of the bladder becoming overly full due to inability to fully empty the bladder.
Choice D rationale
Tenderness over the symphysis pubis can occur due to the bladder being overly full and distended.
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