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    Ati lpn med surg proctored exam (blood immune test)

    A nurse reviews the laboratory results of a patient with a hemoglobin level of 7.2 g/100 mL and hematocrit of 20%. Considering these values, which action should the nurse prioritize in documenting and planning care for this patient?

    Explanation & Rationale

    A. Document the findings and increase the frequency of vital signs: While monitoring is necessary, this is passive. A hemoglobin of 7.2 is critically low and requires active intervention to prevent tissue hypoxia. B. Record the values and prioritize assessing nutritional intake: Nutritional assessment is a long-term strategy; it does not address the immediate, acute need for oxygen-carrying capacity in severe anemia. C. Note the values as within normal limits: This is incorrect and dangerous. Normal hemoglobin is typically 12–18 g/dL; 7.2 is a critical value. D. Document the findings as severe anemia and notify the provider: A hemoglobin level below 7 or 8 g/dL is generally the threshold for blood transfusions. The provider must be notified immediately to order life-saving interventions.

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