The nurse is caring for a client experiencing acute lower gastrointestinal bleeding. In developing the plan of care, which priority problem should the nurse assign to this client?1. Deficient fluid volume related to acute blood loss2. Risk for aspiration related to acute bleeding in the GI tract3. Risk for infection related to acute disease process and medications4. Imbalanced nutrition, less than body requirements, related to lack of nutrients and increased metabolism

Deficient fluid volume related to acute blood loss is the priority problem for a client experiencing acute lower gastrointestinal bleeding.


In a client experiencing acute lower gastrointestinal bleeding, the priority problem is deficient fluid volume related to acute blood loss.

This is because rapid blood loss can lead to hypovolemia, which may cause hypotension, tachycardia, and decreased perfusion to vital organs.

To address this issue, the nurse should closely monitor vital signs, assess for signs of shock, administer prescribed intravenous fluids or blood products, and collaborate with the healthcare team to determine the underlying cause and initiate appropriate treatment.

Other concerns, such as risk for aspiration, infection, and imbalanced nutrition, are important but secondary to the immediate life-threatening issue of fluid volume deficit.

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When caring for a client experiencing acute lower gastrointestinal bleeding, the priority problem that the nurse should assign to this client is deficient fluid volume related to acute blood loss.

This is because lower gastrointestinal bleeding can result in significant blood loss, which can lead to a decrease in circulating blood volume and ultimately, shock. As a result, it is critical to monitor the client's vital signs and fluid balance closely, and to administer intravenous fluids and blood transfusions as necessary to maintain adequate perfusion and oxygenation.

While the other problems listed are also important considerations in caring for this client, they are not the immediate priority. The risk for aspiration related to acute bleeding in the GI tract can be mitigated by placing the client in a side-lying position and suctioning as needed. Risk for infection related to acute disease process and medications can be minimized by ensuring that the client receives appropriate antibiotic therapy and monitoring for signs of infection. Imbalanced nutrition, less than body requirements, related to lack of nutrients and increased metabolism can be addressed once the client's fluid volume has been stabilized.

In conclusion, when caring for a client experiencing acute lower gastrointestinal bleeding, the nurse should prioritize the client's fluid volume status and take appropriate measures to prevent hypovolemic shock.

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