A client with a duodenal ulcer complains of a sudden onset of severe pain. In which order should the nurse perform the following activities? (select all that apply)
A) Assess the patency of the patient's IV line.
B) Call the physician.
C) Have the nurses' aid obtain a set of vital signs.
D) Perform a complete abdominal examination.
E) Prepare to administer IV pain medication.

Question

Quizplus · Accepted Answer

This patient may have experienced a perforation of the duodenal ulcer, which is a surgical emergency. The first step in the nursing process is assessment, so the nurse should perform a complete abdominal (and pain) assessment. Before calling the physician, the nurse will need this information and a set of vital signs. Since this patient is possibly going to the operating room, the nurse should next assess the IV line. Preparing to give pain medications is last because the physician may want to examine the client before the client receives any more pain medications. The client may also need to sign a permit form before receiving any pain medication.

A Client with a Duodenal Ulcer Complains of a Sudden