The nurse is administering an injection at the ventrogluteal site.

Dora Shields, 76, is a female client admitted yesterday with peptic ulcer disease. You assess her vitals and note the following results: BP 88/53, HR 122, Sp02 90%-RA, RR 24. She is confused with weak thready pulses and delayed capillary refill. Her abdomen is distended and bowel sounds are hyperactive. She is nauseous. You note one large frank stool from her rectum and a 200ml frank bloody emesis. What would be some priority interventions for you to implement base on your assessment findings? Establish two large bore IV access Begin IV isotonic solutions per order Call your provider with updated, current assessment findings, noting changes from your client’s baseline clinical findings and baseline vitals Obtain an order for a blood transfusion Recommend an early endoscopy based on your assessment (clinical and vital sign) findings.

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