A 19-year-old male is rushed to the emergency room with a GI bleed after a car accident. The priority intervention is

  1. asking the client what he remembers about the accident.
  2. obtaining a full set of vitals.
  3. completing a full abdominal assessment.
  4. administering ordered pain medication STAT.
Number 2 is correct.
Rationale: The nursing priority is to obtain and determine baseline vitals, as well as to assess for abnormalities in blood pressure, respiration, and pulse rate, which may be signs of the body compensating for blood loss. The nurse can then prioritize care by talking with the client while taking vitals and ask about accident recall, assess the abdomen, and provide pain medication after assessing pain.