Final answer:
When caring for a patient with upper GI bleeding, a nurse needs to assess the severity of blood loss, hemodynamic stability, monitor vital signs every 30 minutes, look for signs of hypovolemic shock, and determine if fluid resuscitation is necessary.
Step-by-step explanation:
When caring for the patient with upper GI bleeding, the nurse assesses several factors to manage the patient's condition appropriately. The nurse should select all options that apply for a comprehensive evaluation. The assessments include:
- Severity of blood loss: Evaluation of the amount of blood loss is crucial to inform subsequent treatment decisions.
- Hemodynamic stability: Assessing the patient's blood circulation and perfusion status to vital organs.
- Vital signs every 30 minutes: Frequent monitoring of vital signs is essential to detect changes in the patient's condition and respond quickly to deteriorating conditions.
- Signs of hypovolemic shock: Since this type of shock occurs due to excessive loss of blood volume, recognizing its signs is imperative for timely intervention.
- Necessity for fluid resuscitation: Determining whether the patient requires fluids to restore blood volume and prevent or treat shock.