A child has significant polycythemia. When consulting with the health-care provider, which intervention does the nurse inquire about?
A.
Administering anticoagulants
B.
Implementing a fluid restriction
C.
Obtaining an oxygen saturation
D.
Starting cardiac rehabilitation
ANS: A
Polycythemia (hemoglobin >15 g/dL) predisposes a child to thrombotic events, including stroke. The nurse would ask about an anticoagulant. A fluid restriction would "thicken" the blood even further, increasing the risk of thrombotic events. The nurse should be able to obtain an oxygen saturation as an independent nursing assessment. There is not enough information about the patient to recommend cardiac rehabilitation.
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