A patient's complete blood count (CBC) shows a hemoglobin of 19 g/dL and a hematocrit of 54%. Which question should the nurse ask to determine possible causes of this finding?
a. "Have you had a recent weight loss?"
b. "Do you have any history of lung disease?"
c. "Have you noticed any dark or bloody stools?"
d. "What is your dietary intake of meats and protein?"
ANS: B
The hemoglobin and hematocrit results indicate polycythemia, which can be associated with chronic obstructive pulmonary disease (COPD). The other questions would be appropriate for patients who are anemic.
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What action should you take, and why?
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