A 58-year-old client presents to the emergency department with dizziness, fatigue, and tarry stools that started 24 hours ago. The client reports frequent NSAID use for chronic joint pain. Pallor and mild epigastric tenderness noted. Vital signs: BP 92/60 mm Hg, HR 110 bpm, RR 20, T 98.2°F (36.7°C), SpO₂ 98% on room air. The client is alert but anxious. Laboratory tests are pending.
The nurse is reviewing the physical assessment findings and laboratory data to determine the client’s condition, the interventions needed to manage it, and the parameters to monitor.
Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.
Actions to Take: Prepare for IV insertion | Encourage ambulation | Obtain order for iron supplement | Place client on NPO status | Request order for antidiarrheal
Potential Conditions: Peptic Ulcer Disease | Irritable bowel syndrome | Lower gastrointestinal infection | Iron deficiency anemia | Upper gastrointestinal bleed
Parameters to Monitor: Hemoglobin level | Bowel sounds | White blood cell count | Potassium level | Blood pressure
Actions to Take: Prepare for IV insertion | Encourage ambulation | Obtain order for iron supplement | Place client on NPO status | Request order for antidiarrheal
Parameters to Monitor: Hemoglobin level | Bowel sounds | White blood cell count | Potassium level | Blood pressure
Sign in to reveal the correct answer & rationale
A free account unlocks answers for the preview questions in every exam. A pass unlocks all of them.