What is the priority action for a client with an active bleed and signs of shock?

For a client experiencing an active bleed and showing signs of shock, the priority action is to initiate intravenous (IV) fluid resuscitation. This is crucial because clients in shock often experience reduced blood volume and circulation, which can lead to inadequate tissue perfusion and, ultimately, organ failure. IV fluid resuscitation helps to restore circulating blood volume, improve blood pressure, and ensure that vital organs receive the oxygen and nutrients they need.

While ordering a complete blood count is important for evaluating the extent of bleeding and guiding further treatment, it does not provide immediate intervention that addresses the critical nature of shock. Monitoring vital signs frequently is essential in managing a patient’s overall condition but also lacks the immediate impact required to stabilize someone experiencing active bleeding. Administering oxygen therapy is beneficial for improving tissue oxygenation but does not directly address the underlying issue of blood volume loss in this scenario. Thus, initiating IV fluid resuscitation is the most immediate and effective response to stabilize the client.