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    A patient arrives at the emergency department with upper gastrointestinal bleeding that began 3 hours ago. What is the priority action?
    Question

    A patient arrives at the emergency department with upper gastrointestinal bleeding that began 3 hours ago. What is the priority action?

    A.

    Obtaining vital signs

    B.

    Inserting a nasogastric tube

    C.

    Asking the client about the precipitating events

    D.

    Completing an abdominal physical assessment

    Correct option is A

    Assessing vital signs helps determine hemodynamic status and the severity of blood loss, guiding urgent interventions. Explanation of options:
    · (a) ✔ First critical step to ensure stability.
    · (b) ✘ Performed after stabilization.
    · (c) ✘ History is taken after ruling out acute risk.
    · (d) ✘ Physical assessment follows vital checks.

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