A client with suspected upper GI bleeding has black tarry stools, HR 128/min, BP 86/50 mmHg, and dizziness. What is the nurse’s priority action?

Question

Accepted Answer

B. Start large-bore IV access and prepare for IV fluids/blood products — The client shows signs of shock from blood loss. Priority is circulation—establish large-bore IV access, begin resuscitation per protocol, and prepare for labs and possible transfusion/endoscopy.

Answer

A. Give oral iron supplementation

Answer

C. Encourage ambulation to prevent clots

Answer

D. Apply a heating pad to the abdomen