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 thendropdown

The client's vital signs indicate worsening hypotension (BP decreased from 90/50 mmHg to 76/45 mmHg) and tachycardia (HR increased from 118 to 121 bpm), suggesting hypovolemia, possibly due to gastrointestinal (GI) bleeding from a suspected peptic ulcer (positive H. pylori test and hemoccult-positive stool). First Action – Obtain IV Access: The client is at risk for hypovolemic shock, so establishing IV access is the priority to administer fluids or blood products if needed. Second Action – Place the client in a supine position with feet elevated:This helps improve perfusion to vital organs by increasing venous return and cardiac output. Rationale for Incorrect Options: Rechecking oxygen saturation is unnecessary at this moment because SpO₂ is already stable at 98%. Calling the surgical team STAT is premature; stabilization of the client’s circulation should occur first before proceeding with the endoscopy.