Florida Nursing Assistant Competency Pracrice Exam

If a client vomits coffee grounds, what is the appropriate action for the nurse aid?

1. Document the incident

2. Notify the nurse immediately

3. Provide the client with water

4. Check the client’s vital signs

The correct answer is: Notify the nurse immediately

When a client vomits material that resembles coffee grounds, which is indicative of possible gastrointestinal bleeding, it is crucial to notify the nurse immediately. This type of vomiting suggests that there is old blood in the vomit, often due to a significant medical condition. The nurse will need to assess the situation quickly and may initiate further medical interventions that go beyond the responsibilities of a nursing assistant. Prompt notification allows for timely evaluation and management of the client’s condition, which is essential for ensuring their safety and well-being. Documenting the incident is also important but should come after immediate actions are taken to ensure the client’s safety. Providing water or checking vital signs is not appropriate at this moment because the presence of coffee-ground vomit could complicate the client's condition, and their vitals may need to be monitored by a nurse, particularly in the case of a potential emergency.