A patient with peptic ulcer disease suddenly vomits bright-red blood and becomes pale and restless. What is the priority nursing action?
Correct answer: B. Assess the airway, breathing and circulation
- A. Place the patient flat and offer oral fluids
- B. Assess the airway, breathing and circulation
- C. Give an antacid and reassess after 30 minutes
- D. Apply a warm compress over the epigastric area
Explanation
Acute hematemesis can cause airway contamination and hypovolaemic shock, so ABC assessment has priority. Oral fluids may worsen vomiting, and antacids or warmth do not treat the immediate threat of blood loss.
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About Gastrointestinal and Liver Nursing
Covers nursing care for peptic ulcer disease, gastroenteritis, inflammatory bowel disease, intestinal obstruction, hepatitis, cirrhosis and portal hypertension. It includes nutrition, fluid and electrolyte management, abdominal assessment, gastrointestinal bleeding, ascites and hepatic encephalopathy, which must be distinguished from other causes of altered consciousness.
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