A nurse in a provider's office is caring for a client. Exhibits Which of the following findings require follow-up? Select all that apply.
Explanation & Rationale
A. Temperature: Normal at 36.8° C (98.3° F). No fever; does not require follow-up. B. Breath sounds: Clear bilaterally; no respiratory compromise. Does not require follow-up. C. Hematocrit: Low Hct (32%) indicates anemia. Requires follow-up to determine cause and severity, and to initiate appropriate treatment (iron, B12, or both). D. Activity level: Client reports fatigue and difficulty keeping up with grandchildren. This is a functional indicator of anemia severity and needs follow-up for safety and treatment planning. E. Oxygen saturation: Normal at 97% on room air. No immediate concern; does not require follow-up. F. Iron level: Low ferritin (15 ng/mL) confirms iron-deficiency anemia. Follow-up is needed to address nutritional deficits and consider supplementation. G. Blood pressure: Low BP (93/62 mm Hg) may be related to anemia-induced decreased oxygen-carrying capacity, hypovolemia, or chronic illness. Requires follow-up to prevent syncope or falls.