Mr. Dunner is admitted to his room accompanied by his wife. Before the registered nurse (RN) can begin the admission assessment, Mr. Dunner states he needs to "Throw up". The RN helps him to sit up and provides and emesis basin.
Mr. Dunner vomits into the emesis basin and then remains sitting on the side of the bed, stating that he may need to "throw up" again.
1. What assessment should the RN complete first?
-Auscultate the bowel sounds
-Observe the color of the emesis
-Ask about recent loss of appetite
-Palpate for abdominal distention