Which nursing actions would be most appropriate for the nurse to take, based upon these findings? While caring for a client with peptic ulcer disease. the client reports that he has been nauseated most of the day and is now feeling lightheaded and dizzy.

Monitoring the client’s vital signs
Notifying the physician of the client’s symptoms

The symptoms of nausea and dizziness in a client with peptic ulcer disease may be indicative of hemorrhage and should not be ignored. The appropriate nursing actions at this time are for the nurse to monitor the clients vital signs and notify the physician of the clients symptoms. To administer an antacid hourly or to wait one hour to reassess the client would be inappropriate; prompt intervention is essential in a client who is potentially experiencing a gastrointestinal hemorrhage. The nurse would notify the physician of assessment findings and then initiate oxygen therapy if ordered by the physician.