hard · NCLEX-RN Basic Care and Comfort

During a home health visit, the nurse finds a client with a 2-week-old ileostomy has a BP of 88/50 mm Hg and is lethargic. The client’s spouse says the 'pouch has been full of water' for 2 days.

Which action is the priority?

  1. Teach the spouse about the signs of high-fiber food blockages
  2. Call emergency services for immediate medical transport
  3. Change the ostomy pouching system to a high-output bag
  4. Administer an 8 oz glass of water and recheck the BP in 1 hour

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