Question

A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. Identify the sequence of actions the nurse should take.

a) Assess the client's vital signs, administer intravenous fluids, notify the healthcare provider
b) Notify the healthcare provider, administer intravenous fluids, assess the client's vital signs
c) Administer intravenous fluids, assess the client's vital signs, notify the healthcare provider
d) Assess the client's vital signs, notify the healthcare provider, administer intravenous fluids

Answer 1

The correct sequence of actions for a nurse when caring for a client with a gastric hemorrhage experiencing shock involves assessing vital signs, notifying the healthcare provider, and then administering intravenous fluids.

Step-by-step explanation:

When handling a client with a gastric hemorrhage going into shock, a nurse should first assess the client's vital signs to determine the severity of the shock and understand the patient's current state. Next, the nurse should notify the healthcare provider to ensure that a medical decision-maker is aware of the client's status and can provide further orders. Finally, as part of the immediate intervention, the nurse should administer intravenous fluids, which are essential in treating hypovolemic shock caused by hemorrhage, to restore the patient to normal function and maintain adequate blood circulation.

The correct sequence of actions the nurse should take is:

1. Assess the client's vital signs
2. Notify the healthcare provider
3. Administer intravenous fluids