A nurse is caring for a hospitalized client who was admitted for GI bleeding with a history of gallstones. Which of the following findings would the nurse report to the physician immediately?

300 ml of emesis with fecal components

Explanation

•A finding of emesis with fecal components may indicate that an intestinal obstruction has formed, leading to back up in the GI tract, and would indicate a change or worsening in the client’s condition. The physician should be called for this.

•A finding of coffee ground emesis is an indication of a slow GI bleed, which the client was admitted for and of which the physician is already aware.

•Yellow/green emesis and bitter tasting emesis contains bile which is not indicative of a change or a critical condition.

Visit our website for other NCLEX topics now!