A 68-year-old client with an 80 pack/year history of smoking was diagnosed with emphysema 18 months ago
The client's most recent scheduled blood work showed excessive increase in production of red blood cell (erythrocytes), a problem that suggests the need for which of the following interventions?
A) Vitamin B12 supplements
B) Increased supplementary oxygen therapy
C) Hemodialysis or peritoneal dialysis
D) Scheduled erythropoietin injections
Ans: B
Feedback:
Treatment of secondary polycythemia focuses relief of the underlying hypoxia. Secondary polycythemia increases in the production of erythropoietin, hence an increased production of erythrocytes. A vitamin B12 deficiency does not underlie secondary hypoxia, and dialysis is not a relevant treatment option. Erythropoietin injections would exacerbate the client's polycythemia.
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