A nurse in a provider's office is caring for a client. Exhibits Complete the following sentence by using the lists of options. The first action the nurse should take is dropdownfollowed bydropdown.

Rationale for Correct Choices: Instruct the client to rise slowly from a sitting position: The client is showing signs of orthostatic hypotension, with a drop in blood pressure when changing positions. Providing instructions to rise slowly helps prevent dizziness and potential falls, especially in the presence of anemia-related fatigue and reduced oxygen delivery. Evaluate a stool sample for occult blood: The client has anemia (Hgb 8 g/dL, Hct 24%) and is taking naproxen, a nonsteroidal anti-inflammatory drug (NSAID) known to cause gastrointestinal bleeding. Occult GI blood loss is a common cause of iron deficiency anemia in such clients. Identifying hidden bleeding is a priority to determine the cause of anemia. Rationale for Incorrect Choices: Draw a blood sample for arterial blood gases: There is no evidence of acute respiratory distress or hypoxemia requiring blood gas analysis. The client’s oxygen saturation is 94% on room air, and breath sounds are clear, making this action unnecessary at this time. Perform a 12-lead ECG: Although the client has tachycardia (HR 108/min), this is likely a compensatory response to anemia. Without chest pain or other signs of cardiac compromise, a 12-lead ECG is not the most immediate action. Administer an inhaled bronchodilator: The client reports dyspnea with exertion, but there is no indication of bronchospasm or wheezing. Breath sounds are clear bilaterally, so a bronchodilator is not indicated and would not address the underlying issue of anemia.