116) ANSWER

2. Monitoring the client’s vital signs.

3. Notifying the physician of the client’s symptoms.

RATIONALE

The symptoms of nausea and dizziness

in a client with peptic ulcer disease may be indicative

of hemorrhage and should not be ignored. The

appropriate nursing actions at this time are for the

nurse to monitor the client’s vital signs and notify

the physician of the client’s symptoms. To administer

an antacid hourly or to wait 1 hour to reassess

the client would be inappropriate; prompt intervention

is essential in a client who is potentially experiencing

a gastrointestinal hemorrhage. The nurse

would notify the physician of assessment fi ndings

and then initiate oxygen therapy if ordered by the

physician.