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. (Put into the correct order)

a) Initiate IV therapy with a large-bore catheter.
b) Administer famotidine.
c) Administer oxygen via a non-rebreather mask.
d) Insert an NG tube.

Answer 1

In treating a client with a gastric hemorrhage going into shock, the nurse should first administer oxygen, then initiate IV therapy with a large-bore catheter, followed by the insertion of an NG tube, and finally, administer famotidine.

Step-by-step explanation:

A nurse is tasked with a critical situation where a client is experiencing a gastric hemorrhage and is going into shock. The priority actions that should be taken by the nurse include:

1. Administer oxygen via a non-rebreather mask to ensure the client's tissues are receiving enough oxygen, which is crucial for maintaining organ function during shock.
2. Initiate IV therapy with a large-bore catheter to replace lost fluids and maintain blood pressure, which is vital in the treatment of hypovolemic shock.
3. Insert an NG (nasogastric) tube if indicated, which can help manage the bleeding and stomach content, as well as assist in diagnosis.
4. Finally, administer famotidine to reduce stomach acid, which can help control the bleeding.

These steps should be performed in a rapid and sequenced manner, with constant monitoring and reassessment of the client's condition.