An older client is scheduled to have hip replacement in 2 months and has the following laboratory values: white blood cell count: 8900/mm3, red blood cell count: 3.2/mm3, hemoglobin: 9 g/dL, hematocrit: 32%
What intervention by the nurse is most appropriate?
a.
Instruct the client to avoid large crowds.
b.
Prepare to administer epoetin alfa (Epogen).
c.
Teach the client about foods high in iron.
d.
Tell the client that all laboratory results are normal.
ANS: B
This client is anemic, which needs correction prior to surgery. While eating iron-rich foods is helpful, to increase the client's red blood cells, hemoglobin, and hematocrit within 2 months, epoetin alfa is needed. This colony-stimulating factor will encourage the production of red cells. The client's white blood cell count is normal, so avoiding infection is not the priority.
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