Answer and Explanation 15

15.  C is the correct answer.  Inserting an NG tube in this situation would not be the thing to do.  This patient is presenting with a history suggestive of bleeding esophageal varices.  This would be contraindicated.  This patient needs transfused and may need vasopressors.  This patient needs good IV access.  You need to involve the appropriate specialists as soon as possible because this condition has a high mortality rate.