Following a Nissen fundoplication, a patient presents with hypotension, tachycardia, and abdominal distention. As the nurse evaluates the situation, which Intervention should be prioritized to address potential post-operative bleeding?

Rationale: A. Prepare the patient for an emergency endoscopic procedure is incorrect because, while endoscopy may be needed to identify the bleeding source, the immediate priority is stabilizing the patient’s hemodynamic status. Endoscopy cannot be safely performed until circulation is supported. B. Initiate a large-bore IV for fluid resuscitation and notify the surgical team is correct because the patient exhibits signs of hypovolemic shock (hypotension, tachycardia, abdominal distention), which may indicate post-operative hemorrhage. Rapid IV access allows for fluid and blood product administration, stabilizing the patient while the surgical team is alerted for further intervention. According to the ABCs of emergency care, circulation must be addressed first. C. Administer analgesics to manage potential abdominal pain is incorrect because pain control is important but is secondary to treating life-threatening bleeding. Administering analgesics before stabilization may mask symptoms or depress vital signs. D. Encourage the patient to ambulate to improve circulation is incorrect because mobilization is contraindicated in the setting of acute hypotension and suspected internal bleeding, as it could worsen perfusion and precipitate collapse.