Free BCEN Certified Emergency Nurse (CEN) Practice Question

A 65-year-old patient presents to the emergency department with hematemesis and melena. Which of the following is the BEST initial intervention for this patient?

  • Administer intravenous proton pump inhibitors

  • Consult gastroenterology for emergent endoscopy

  • Obtain an immediate CT scan of the abdomen

  • Establish large-bore IV access and initiate fluid resuscitation

This question's topic:
BCEN Certified Emergency Nurse (CEN) / 
Gastrointestinal, Genitourinary, Gynecology, and Obstetrical
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