The nurse is caring for a client with massive gastrointestinal bleeding from a gastric ulcer who received 6 units packed red blood cells (PRBCs) and 2 units fresh frozen plasma (FFP). The most recent laboratory results are a hemoglobin of 8.0 g/dL (4.96 mmol/L), platelets of 82,000/mm3 (82 X 109/L), a prothrombin time (PT) of 11.1 seconds, an international normalized ratio (INR) of 1.9, and a partial thromboplastin time (PTT) of 58 seconds. Vital signs are a heart rate of 110 beats/minute, respirations of 24 breaths/minute, a blood pressure of 80/50 mm Hg, and an oxygen saturation of 94% on 4 L/minute oxygen via nasal canula. Which intervention should the nurse implement first? Reference Range: Hemoglobin [14 to 18 g/dL (8.69 to 11.17 mmol/L)] Platelets [150,000 to 400,000/mm3 (150 to 400 x 109/L)] Prothrombin time (PT) [11.0 to 12.5 seconds] International Normalized Ratio (INR) [0.8 to 1.1] Partial Thromboplastin Time (PTT) [60 to 70 seconds]