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02-02-2024
Medicine

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A pt with upper GI bleeding is admitted with a Hgb of 10.8. The ff day the pt has become obtunded and is having melena stools. Lab data reveal a Hgb of 6.1. Which of the ff should the nurse do first
A. check the pt for orthostatic changes and hold medications that inhibit PLT function
B. obtain intubation equipment and administer normal saline
C. insert a NG tube to promote removal of bile, and transfuse 2 units of packed RBCs
D. prepare the pt for upper endoscopy and collaborate with the pharmacist regarding a vasopressin infusion

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