The nurse is caring for four clients with hematologic-type problems. Which client does the nurse prioritize to see first?
a. 18-year-old female with decreased protein levels
b. 36-year-old male with increased lympho-cytes
c. 60-year-old female with decreased eryt-hropoietin
d. 82-year-old male with an increased thromboxane level
C
The kidney releases more erythropoietin when tissue oxygenation levels are low. This growth factor then stimulates the bone marrow to increase red blood cell (RBC) production, which im-proves tissue oxygenation and prevents hypoxia. Hypoxia causes the body to increase its respi-ratory rate to overcome decreased oxygenation of the tissues. All these clients are important, but the woman with decreased erythropoietin takes priority because of her risk for hypoxia.
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A patient with renal calculi is admitted to the medical-surgical floor. Renal ultrasound indicates that the patient does not have hydronephrosis, and orders have been written by the physician to increase the patient's fluid intake
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