A client with an upper GI bleed is started on pantoprazole 80 mg IV bolus followed by 8 mg/hr continuous infus…

Question

A client with an upper GI bleed is started on pantoprazole 80 mg IV bolus followed by 8 mg/hr continuous infusion. Which is the nurse's priority assessment during therapy?

Accepted Answer

Option 2: Monitor hemoglobin, hematocrit, hemodynamics, and signs of continued bleeding (melena, hematemesis); reassess the need for IV therapy at 72 hours

Correct (2): IV PPI suppresses gastric acid to promote clot stability after endoscopic hemostasis of bleeding ulcers. The nurse monitors Hgb/Hct, hemodynamics, ongoing bleeding signs, and transfusion needs. After 72 hours of stability, switch to oral PPI is typical. (1,3,4) Unrelated/inappropriate.

Answer

Option 1: Plan for outpatient discharge in 4 hours

Answer

Option 3: Encourage 3 liters of free water daily

Answer

Option 4: Check for sun-sensitivity rash

A client with an upper GI bleed is started on pantoprazole 80 mg IV bolus followed by 8 mg/hr continuous infusion. Which is the nurse's priority assessment during therapy?

In-depth explanation

Clinical scenario

Key concepts

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A client with an upper GI bleed is started on pantoprazole 80 mg IV bolus followed by 8 mg/hr continuous infusion. Which is the nurse's priority assessment during therapy?

In-depth explanation

Clinical scenario

Key concepts

Master the NCLEX-RN with MyMerci