The nurse is obtaining the client's vital signs prior to an endoscopy. Exhibits Complete the following sentence by using the list of options. The nurse should first anticipate the need to dropdownand thedropdown.

The nurse should first anticipate the need to obtain IV access and the prepare to administer IV fluids. 1. Obtain IV access Rationale: The client has progressive hypotension (BP dropped from 90/50 mm Hg to 76/45 mm Hg) and tachycardia (HR increased from 118 to 121/min), which indicate worsening hypovolemia, likely due to a gastrointestinal (GI) bleed. IV access is critical for fluid resuscitation and potential blood product administration to prevent further hemodynamic instability. 2. Prepare to administer IV fluids Rationale: Fluids are needed to stabilize blood pressure and improve perfusion while determining the severity of the bleed. Endoscopy should be delayed until the client is hemodynamically stable because further sedation could worsen hypotension.