A client has a hemoglobin level of 8.2 g/dl. The nurse finds the client dyspneic with an O2 saturation of 98%. The client has oxygen on at 2 liters per nasal cannula. Which intervention by the nurse would be best to meet this client's needs?
a. Call the physician and suggest a transfusion.
b. Find another oximeter and check another saturation.
c. Increase the O2 to 6 liters per nasal cannula.
d. Prepare to intubate and mechanically ventilate the client.
A
This client is anemic, meaning there is not enough hemoglobin to carry the amount of oxygen the client needs. The oximeter may be correct; all 8.2 g/dl of hemoglobin may be 98% saturated with oxygen, but there still is not enough oxygen to meet the client's needs. Turning up the oxygen will not help. The client needs a transfusion in order to boost the circulating hemoglobin in the bloodstream. If the client does not respond to this or if the client becomes more unstable, it may be necessary to intubate; however, being anemic will still prevent the client from receiving ade-quate oxygen.
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