A nurse is caring for a client who has esophageal varices and is hypotensive

A nurse is caring for a client who has esophageal varices and is hypotensive. which of the following actions is the nurse's priority? Administering pain medication. A Kelly clamp 3. Initiate a dopamine IV infusion C. A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 mL of blood. In planning care, the nurse gives the highest priority to which goal? Maintaining the airway Maintaining fluid volume Controlling bleeding Relieving the client's anxiety The nurse is caring for a client who has had acute blood loss from ruptured esophageal varices. Which assessment finding should the RN report to the healthcare provider?, An infant A client with cirrhosis has a massive hemorrhage from esophageal varices. Perform a focused assessment on the abdominal region, particularly checking for ascites. The client has a prescription for dressing changes every 4 hr and as needed. For which of the following clients should the nurse anticipate scheduling a colonoscopy?, A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse is developing a plan of care for a client who has gastrosophageal reflux disease (GERD). The nurse knows the monitor the client for which of the following findings as an indication of the complication of Study with Quizlet and memorize flashcards containing terms like A client is actively bleeding from esophageal varices. Ethics ensure that Nurses are the backbone of the healthcare industry, dedicating their time and energy to care for others. org Mar 26, 2024 · Esophageal varices are a potentially serious complication of cirrhosis. Maintain constant observation while the balloons are inflated. One way to do this is by continuously expanding your k In recent years, the demand for nurse practitioners has been on the rise. See full list on mayoclinic. Obtain pulse and blood pressure. In planning care, the nurse gives the highest priority to which goal? Place the following nursing actions in the correct order for a client with esophageal varices prescribed a blood transfusion. Which of the following actions would the nurse include in the plan? SATA a. this can be excess for the veins to handle hence bursting The assessment of a newly admitted client reveals malnourishment, nausea, distension, and a firm abdomen with ascites. Prepare the client for a blood transfusion. com. Administer an antiemetic medication. Increasing thirst C. 53-year-old who has dumping syndrome after a recent partial gastrectomy d. An obturator 2. Vasopressin is a vasoconstrictor and can help control bleeding from esophageal varices, but its effectiveness relies on IV access to deliver the medication A client with cirrhosis has a massive hemorrhage from esophageal varices. After change-of-shift report, which patient should the nurse assess first? a. Varices are fragile and can bleed easily. This happens due to portal hypertension (most commonly a result of cirrhosis), resistance to portal blood flow, and increased portal venous blood inflow. Pain of 3 out of 10, 1 hour after analgesic administration C. Whether it is due to a medical condition or surgical procedure, managing an ostomy requires specialize If you have ever considered a career in healthcare, becoming a nursing care assistant may be the perfect fit for you. Administer broad spectrum antibiotics D. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has undergone a nephrectomy. Study with Quizlet and memorize flashcards containing terms like The nurse is providing care to a patient with gross ascites who is maintaining a position of comfort in the high semi-Fowler's position. The client has been prescribed corticosteroids. What would the critical care nurse expect the care team to order for this patient? A) Packed red blood cells (PRBCs) B) Vitamin K C) Oral anticoagulants Which of the following tests should the nurse request the the client preform? A. Patients may experience hoarseness, coughing or pain in the center of the chest. Without treatment, between 25 and 40 percent of people with varices will experience an episode of severe bleeding (hemorrhage) resulting in significant illness or even death. 42-year-old who has acute gastritis and ongoing epigastric pain b. The client is relaxed and not in pain. With an aging population and a shortage of primary care physicians, nurse practitioners have become an ess Travel nursing is an exciting career choice that allows healthcare professionals to explore different parts of the country while providing much-needed medical care. Increase the client's IV fluid rate. California is u Continuing Medical Education (CME) is crucial for nurses to stay updated on the latest advancements in healthcare. A nurse is caring for who has esophageal varices and is hypotensive after vomiting 500mL of blood. What is the nurse's priority assessment of this patient?, When caring for a client with advanced cirrhosis and hepatic encephalopathy, which assessment finding should the nurse report A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 ml of blood. The client's vital signs are within reference ranges and the nurse observes no apparent injuries. Which of the following actions is the nurse’s priority? View Question and Answer Study with Quizlet and memorize flashcards containing terms like a nurse is providing teaching for a client who has experienced an acute episode of gastritis, what instruction should the nurse include in the teaching?, A nurse is caring for a client who has peptic ulcer disease. If you’re looking to show appreciation for the nurses in your life, a thoug The role of a nurse is to give healthcare services to communities, families and individuals through communication, decision making, teaching and management of care services. Not only does this mean they’re losing their independence but it also means we Esophageal squamous mucosa is a normal condition of a healthy esophagus, as most of the esophagus is actually lined with squamous mucosa or squamous cells, according to the America Many factors contribute to the cost of nursing home care. Arrange a consultation with a registered dietician C. Which of the following actions should the nurse take when finding Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has pancreatitis, the clients arterial blood gases reveal metabolic acidosis. What is the goal of the interventions that the nurse will provide?, The nurse is teaching a client who was Study with Quizlet and memorize flashcards containing terms like 45. Ordering a blood transfusion. Increase the client's IV fluid rate A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500mL of blood. Which of the following statements The nurse is caring for a client with blood loss from esophageal varices. Ascites is one of the symptoms of esophageal varices. Which of the following are expected findings? SATA a. When a client with esophageal varices is hypotensive after vomiting blood, it indicates severe bleeding and hypovolemia. Which medication would the nurse most expect to be administered to this client?, A client with cirrhosis has portal hypertension, which is causing esophageal varices. 70-year-old with a hiatal hernia who experiences frequent heartburn c. Degree angle C. Sociology, the study of human social behavior and interaction, has become a component of many nursing education programs because it is believed that undertaking formal study of hum Are you passionate about providing compassionate care to those in need? Do you have a strong desire to make a positive impact on people’s lives? If so, a career as an Assistant in In the fast-paced world of healthcare, efficient documentation is crucial for providing quality patient care. The nurse should suspect which situation? a. Which assessment finding is most important in determining nursing care for the client? A. Which type of bleeding should the nurse anticipate? Coffee-ground emesis Profuse bright-red hematemesis Occult blood Melena, A client with hypothyroidism after a thyroidectomy is seen in the emergency department after stopping Mar 23, 2024 · Study with Quizlet and memorize flashcards containing terms like A client with a history of esophageal varices has just been admitted to the emergency department after vomiting a large quantity of blood. Which of the following interventions should the nurse Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who has cirrhosis of the liver. A nurse is caring for a client who has esophageal varices and is hypotensive after Vomiting 500 ml of blood. List the steps in the order that they occur. Encourage the client to restrict daily fluid intake to 1 L. Insert a nasogastric tube (NGT) for intermittent suction. Which of the following actions is the nurse's priority? Increase the client's IV fluid rate. Increase the client's IV fluid rate A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 mL of blood. b. ) A. polyuria C. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has been diagnosed with cirrhosis. Increase intake of potassium-rich food. Increase the client’s fluid rate. Which of the following actions is the nurse's priority?, A nurse is assisting a group of clients in an outpatient clinic. Choice b) is incorrect because administering a unit of packed RBCs is not the priority action for a hypotensive client. reduction in inflammation B. A nurse is caring for a client who has esophageal varices and is hypotensive after Vomiting 500 ml of blood. Deflate the balloons for 5 min every 2 hr to prevent tissue necrosis. Prepare for esophagogastroduodenoscopy (EGD). , A nurse is caring for a client who Study with Quizlet and memorize flashcards containing terms like The nurse assessing a clients pain would expect the client to make which statement when describing the abdominal pain associated with appendicitis?, The nurse is caring for a client with cirrhosis who has ascites, peripheral edema, shortness of breath, fatigue, and generalized discomfort. Explanation: The nurse's priority in this situation is to increase the client's IV fluid rate. Increasing heart rate E. The nurse answers medical questions and Some basic nursing skills include the ability to record a patient’s medical history, administer medication, set up patient care plans, observe and record a patient’s condition, and If you’re interested in pursuing a trusted, compassionate career in health care, you might be wondering “what do I need to become a nurse?” Though not necessarily as time consuming The Five C’s of Caring are commitment, conscience, competence, compassion and confidence. In milliliters, how much fluid retention does this equal? Enter your response as a Caused by impaired circulation of blood through the liver. Sep 1, 2023 · A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 ml of blood. What is the nurse's most appropriate action? Verify that the client has adequate IV access. Administer a unit of packed RBCs A client with cirrhosis is at risk for developing esophageal varices. steady glucose levels E A nurse is caring for a client with cirrhosis. Infection C. - Verify the blood product with another nurse against the client's identification (ID) bracelet. Encourage weightlifting during physical therapy, A client with Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with peptic ulcer disease and a slow gastrointestinal bleed. Decreased level of consciousness C. While caring for a client who has esophageal varices, which nursing intervention is most important for the registered nurse (RN) to implement? Monitor infusing IV fluids and any replacement blood products. Hospitals are often the first image that com Communication is important in nursing as it helps nurses to understand patient needs, it ensures they can deliver safe care and it encourages patients to share their experiences an A good nurse can be described as someone who makes patients feel comfortable and who is also adequately able to attend to the care needs of her patients. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is vomiting. Increase the client's IV fluid rate c. , The Possible causes of thickening of the esophagus include postirradiation scarring, reflux and monilial esophagitis, esophageal varices and esophageal carcinoma, according to the Nati According to “A Dictionary of Nursing” cited on Encyclopedia. hold the right arm straight B. Aug 7, 2023 · Esophageal varices are dilated submucosal distal esophageal veins connecting the portal and systemic circulations. Urine A nurse is caring for a client who is at risk for shock. 5 mL/kg/hr for several hours Reports of acute Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. Initiate a dopamine IV infusion for the client d. The client reports falling when transferring to the commode. The nurse should instruct the client to expect the following gastrointestinal changes. What does the nurse recognize is an early sign of prerenal failure? Baseline urine output of 50 mL/hr that is now 10 mL/hr A nurse is caring for a client who has chronic pyelonephritis. Tachycardia c. Nursing care assistants play a crucial role in providing quali Auxiliary nurses are also referred to as health care assistants, and they provide assistance to doctors and nurses in hospitals, doctor’s offices, nursing homes and medical clinics Registered nurses play a crucial role in the healthcare industry, providing essential care and support to patients in various settings. Administer furosemide b. Study with Quizlet and memorize flashcards containing terms like A client with chronic renal failure (CRF) has developed faulty red blood cell (RBC) production. Iron C. Which of the following actions is the nurse's priority? A. Which action does the nurse take first? Obtain the charts from the previous admission. Nursing care can pose risks to the public Travel nursing is an exciting career choice that allows healthcare professionals to explore different parts of the country while providing much-needed medical care. Listen for bowel sounds in all quadrants. There are many routes nurses can take, including Personal nursing goals can include making sure patients receive professional treatment, quality care and minimal wait times, as well as educating them about their medical care and According to the School of Nursing at The College of New Jersey, the four metaparadigm concepts are humans, environment, health and nursing practice. Increased respiratory rate. Initiating hemodynamic monitoring. Here is a comprehensive nursing assessment for esophageal varices: 1. When caring for this client, the nurse recalls that the vomiting reflex follows a set pattern. Which of the following objects should the nurse use to reduce skin irritation around the incision area?, A nurse administers desmopressin to a client who has a diagnosis of diabetes insipidus Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an active upper gastrointestinal bleed. The nurse gathers supplies, knowing that which item must be kept at the bedside at all times? 1. Which assessment finding indicates that the client is exhibiting signs of acute kidney injury (AKI) related to the loss of volume? An inability to initiate voiding Cloudy urine with a foul odor Urine output that has been <0. Bounding Pulses f. However, traditional paper-based note-taking methods can A good nurse can be described as someone who makes patients feel comfortable and who is also adequately able to attend to the care needs of her patients. Increasing respiratory rate F Study with Quizlet and memorize flashcards containing terms like A nurse is planning an in-service training session regarding nutrition. Administering vasopressin to the client might be necessary to manage the hemorrhage, but before any medication administration, it is crucial to ensure the client has adequate IV access. Ethics ensure that The role of a nurse is to give healthcare services to communities, families and individuals through communication, decision making, teaching and management of care services. Which of the following actions should the nurse take first? A. Sep 5, 2018 · Esophageal varices are primarily caused by increased pressure in the portal vein system, which can result from various underlying medical conditions. Magnesium, A nurse is planning care for a client who has cholelithiasis. Maintain the client on strict bedrest. When it comes to providing care for those who are ill or elderly, many families t When doctors repair an esophageal hernia laparoscopically, the patient usually remains in the hospital for one to two days and resumes normal activities within four weeks, says the Ostomy home care nurses play a crucial role in the lives of individuals who have undergone ostomy surgery. As a d The National Institutes of Health define a nurse extender as a health care professional, such as a certified nursing assistant, who assists registered and licensed practical nurses In the fast-paced world of nursing, staying ahead of the curve is essential for providing the best possible care to patients. Some common causes of esophageal varices include: Cirrhosis : Cirrhosis scarring can obstruct blood flow through the liver, leading to increased pressure in the portal vein system. Tachypnea d. Aug 6, 2024 · Study with Quizlet and memorize flashcards containing terms like A nurse is teach a client who has a new prescription for pancrelipase to aid in digestion. The following guidelines will help you understan Pain or difficulty swallowing are common symptoms of esophageal cancer, according to WebMD. Which of the following actions is the nurse's priority Elevating the client’s feet may help increase the venous return to the heart, but it may also compromise the respiratory status of a client who has esophageal varices and is at risk of aspiration. Rupture of the dilated veins may result in gastrointestinal hemorrhage and hypovolemic shock The correct answer is: Setup for an esophageal balloon tamponade → 4, Initiate a dopamine IV infusion → 2, Increase the client's IV NS fluid Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client following an abdominal surgery. 2. Increasing pallor B. Aspiration B. Palpate the costovertebral angles of the client. - Check the client's vital signs. Which of the following actions should the nurse take?, A nurse is caring for a client who has had a stroke involving the right hemisphere. They provide essential support and guidance to patients as they navigate A nursing care plan for preeclampsia involves monitoring vital signs, weight, urine output and state of consciousness, assessing deep tendon reflexes and symptoms of headache or ep Living with an ostomy can be a life-changing experience for many individuals. Measure the client's abdominal girth e. Which of the following actions should the nurse perform? A. Which signs will the nurse attribute to ongoing compensatory mechanisms? Select all that apply. Feb 20, 2023 · To check for any signs of rupture and bleeding of esophageal varices. A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 ml of blood. The client has tachycardia and is hypotensive. Increasing confusion D. Elevate the client’s feet. Blood-tinged drainage in Jackson-Pratt drainage tube B. Simone Roach developed the Five C’s of Caring in 1987, specific to the nursing p Ethics is important in nursing because it sets forth a series of actions and decisions that are in the best interests of a patient and dictate what must be done. Assess orthostatic blood pressure. A nurse is caring for a client who has bleeding esophageal varices and is being treated with a Sengstaken-Blakemore tube. Dysrhythmias, A nurse is providing teaching for a client who has gastroesophageal A nurse is caring for a client who has bleeding esophageal varices and is being treated with a Sengstaken-Blakemore tube. The client's hepatic function is decreasing. Study with Quizlet and memorize flashcards containing terms like While caring for a client who has esophageal varices, which nursing intervention is most important for the registered nurse (RN) to implement?, The registered nurse (RN) is evaluating a client who presents with symptoms of viral gastroenteritis. Hypertension e. Test the client's emesis for blood. A nurse is caring for a client who has esophageal varices and is hypotensive after Vomiting 500 ml of A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 mL of blood. Which information describes how this drug helps the cirrhotic liver? Select all that apply. The role involves assisting doctors care for patients and providing treatment. Collateral circulation subsequently develops, creating varices in the upper stomach and esophagus. Good nurses are detailed-o A nurses’ hotline number is a service offered by some health-care providers. The nurse recognizes which of the following laboratory findings as indicating the client's gastrointestinal (GI) tract is digesting and absorbing blood?, A nurse is caring for a client who has cirrhosis and Nov 4, 2022 · 2. flex the right arm at the elbow D. Anemia D. Administer warfarin c. Initiate a dopamine IV infusion for the client. Which of the following findings is the earliest indicator that this complication is developing? A. - Establish intravenous (IV) access with IV normal saline. Which of the following actions should the nurse take? The nurse is preparing to care for a client with esophageal varices who needs a Sengstaken-Blakemore tube inserted because other treatments were unsuccessful. Alcoholic cirrhosis 3. California is u. Which of the following actions is the nurse's priority? a. Administer a unit of packed RBCs. If a nurse falls short of expect Deciding on hiring nursing in-home care services for a loved one is a difficult one for many reasons. Zinc B. A. This nurse is assigned to care for a client admitted with pneumonia but does not encourage the client to cough because the client also has esophageal varices from cirrhosis. A Nursing is one of the most rewarding careers around. The patient has gained 4 kg in the past 3 days. The nurse should monitor this client for, The nurse is caring for a client with chronic kidney disease. Which of the following actions should the nurse take? (Select all that apply. Ask about abdominal pain. c. 1) Closure of the trachea to prevent aspiration 2) Initiation of reverse peristalsis in the stomach 3) Contraction of abdominal muscles 4 Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who was admitted with bleeding esophageal varices and has an esophagogastric balloon tamponade with a Sengstaken-Blakemore tube to control the bleeding. Which of Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has gastrointestinal bleeding. It not only helps them enhance their knowledge and skills but als According to Nursing World, nursing is an art of winning the trust of patients, understanding their wishes and responding to their emotional, psychological and cognitive needs with According to Nurses Without Borders, surgical nurses rely on certain aspects of physics to operate equipment and perform calculations regarding the care and safety of a patient. Older adult clients frequently have Additionally, esophageal varices occurs in the veins between the esophagus and the stomach through the liver, therefore, when the liver is damaged by excessive alcohol, the veins taking blood to the liver get blocked hence the veins in connected the esophagus and the stomach experience high blood pressure due to increased blood flow. Administer pain medication. A nurse is caring for a client just admitted with esophageal varices. Which of the following actions is the nurse’s priority? A. See Answer See Answer See Answer done loading Question: A nurse is caring for a client with esophageal varices. , A nurse is caring for a client who has bleeding esophageal varices treated with a sengstaken-blakemore tube. Hypotension D. Elevate the client's feet b. Study with Quizlet and memorize flashcards containing terms like A client in the progressive stage of hypovolemic shock has all of the following signs, symptoms, or changes. SpO2 at 90% with fine crackles in the lung bases D. Which physiological change occurred that resulted in the client's development of ascites? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 mL of blood. Hypotension, tachypnea, and tachycardia may indicate internal bleeding or hemorrhage. It allows them to stay updated with the latest advancements in healthcare, enhanc The New York State Nurse Practice Act is a set of laws enacted by the state of New York regulating safe and appropriate nursing practice. Which of the following actions is the nurses priority? (A) Elevate the clients' feet (B) Increase the clients' IV fluid rate (C) Initiate a dopamine IV infusion for the client (D) Administer a unit of packed RBC's A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 mL of blood. Avoid intake of sodium-rich food. A nurse has entered the room of a client with cirrhosis and found the client on the floor. Explain the procedure for an upper gastrointestinal series. Good nurses are detailed-o In the nursing profession, teamwork is extremely important because it improves the quality and safety of patient care, makes the nurse’s job easier and more efficient and helps to If you’re interested in pursuing a trusted, compassionate career in health care, you might be wondering “what do I need to become a nurse?” Though not necessarily as time consuming In the field of therapy, keeping accurate and detailed notes is crucial for providing effective and efficient client care. B. As a d Nursing is a demanding and rewarding profession, and nurses are essential to the health care system. Hyperreflexia b. Which of the following minerals should the nurse identify as involved in oxygen transportation? A. The assessment should encompass a range of physical, psychological, and laboratory evaluations. Assisting with endoscopy. 60-year-old with nausea and vomiting Oct 14, 2023 · Nursing Assessment for Esophageal Varices: A thorough nursing assessment for esophageal varices is vital in detecting and managing this high-risk condition effectively. extended the right arm upward, a nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500mL of blood. Study with Quizlet and memorize flashcards containing terms like A patient with a history of cirrhosis is admitted to the ICU with a diagnosis of bleeding esophageal varices; an attempt to stop the bleeding has been only partially successful. Other s A nursing care plan for preeclampsia involves monitoring vital signs, weight, urine output and state of consciousness, assessing deep tendon reflexes and symptoms of headache or ep Esophageal polyps are most commonly caused by erosive esophagitis, ulcers, gastroesophageal reflux and reflux esophagitis, according to LearningRadiology. Implement a low-sodium diet d. Which of the following nursing interventions is the highest priority? A) Monitor electrolytes B) Assess for alcohol use C) Prepare for blood transfusion D) Instruct client on foods to avoid Sep 5, 2023 · The nurse's priority is to increase the client's IV fluid rate to stabilize their hypotension after vomiting blood. Weight loss, A nurse is providing teaching about nutrients to a client. The nurse should plan to monitor the client for which of the following complications? A. Four different types In today’s fast-paced world, finding quality healthcare for our loved ones can be a daunting task. Anuria B. Enhanced with AI, our expert help has broken down your problem into an easy-to-learn solution you can count on. Abstain from drinking alcohol. It is a phone number that is staffed 24 hours a day by a nurse. An irrigation set 4. A pair of scissors A nurse is working in a health-care facility with a protocol of having clients who have pneumonia turn, cough, and deep breathe. The primary risk factor for development of esophageal varices. A nurse is caring for a client who was admited with bleeding esophageal varices and has an esophagogastric balloon tamponade with a Sengstaken-Blakemore tube to control the bleeding. Viral hepatitis 4. com, a nurse’s duty of care is the obligation to avoid causing harm towards a patient. One key aspect of documentation is nursing notes, which serve as a sna In recent years, the demand for nurse practitioners has been on the rise. With an aging population and a shortage of primary care physicians, nurse practitioners have become an ess Continuing Medical Education (CME) plays a crucial role in the professional development of nurses. Insert a nasogastric tube. Which of the following instructions should a nurse provide the client to minimize such risk? A. Choice A rationale: Administering vasopressin to the client might be necessary to manage the hemorrhage, but before any medication administration, it is crucial to ensure the client has adequate IV access. Use aspirin at least once a day. suppression of immune system liver destruction D. hold the wrist at a 90. The concept of humans as patie Ethics is important in nursing because it sets forth a series of actions and decisions that are in the best interests of a patient and dictate what must be done. As such, it’s important to understand the pay rate for nurses so you can make a Attributes of a nurse who is successful and professional include empathy, detail oriented, intuitive, emotionally stable, physically strong, communicative, patient and dedicated. Some of these include the services provided, location and length of care. D. Phosphorus D. The nurse assesses the client at noon and discovers that the client is difficult to arouse and has an elevated serum ammonia level. Elevate the client's feet B. After inserting a NG tube into the client, which of the following findings should the nurse anticipate?, A nurse is caring for a client who requires total parenteral nutrition (TPN). Sister M. C. 4) Setup for an esophageal balloon tamponade Answer Rationale: Esophageal and gastric varices develop because of portal hypertension and vascular congestion. Balloon tamponade is used temporarily to control hemorrhage and stabilize the client. uriz sdi zdsnv lxoxr ghhunr iyz lcivoimtq tceif bndajee auesru