A 70-year-old patient comes into the emergency room complaining of dizziness and lightheadedness. Her blood pressure is 90/58 mmHg and she recently had 2 stools that were bloody. The physician suspects that she has an upper GI bleed. Which intervention would be most appropriate in this situation?

 

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Correct

- Provide oxygen and begin cardiac monitoring

- Collect a stool sample to monitor for blood loss

- Place the patient supine with a pillow under the knees

- Ask the patient about dietary changes

Rationale

A patient with an upper GI bleed can quickly lose a lot of blood, which requires rapid assessment and management on the part of the healthcare staff. The nurse's first response would be to protect the patients airway, breathing, and circulation by administering oxygen. Following this step, the nurse may need to assist the physician with further diagnostic tests and treatments to manage the bleeding.

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