The client who has a history of peptic ulcer disease presents to the emergency department with a B/P of 86/42 and an apical pulse of 128. Which intervention should the nurse implement first? 1....

The client who has a history of peptic ulcer disease presents to the emergency department with a B/P of 86/42 and an apical pulse of 128. Which intervention should the nurse implement first?

1. Administer dopamine, a sympathomimetic, by IV constant infusion.

2. Request a stat CBC, Chem 7, and type and crossmatch.

3. Prepare to administer intravenous Protonix, a proton-pump inhibitor.

4. Initiate an IV with lactated Ringer’s with an 18-gauge angiocath.