A patient has been admitted for treatment of hemolytic anemia

Which assessment findings would the nurse immediately discuss with the health care provider? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Decreased amounts of very dark urine
2. Jaundice
3. Bradycardia
4. Liver palpated below the right costal margin
5. Itching


1,3
Rationale 1: Decreased, concentrated urine is an indicator of renal failure associated with hemolytic anemia. The health care provider should be contacted immediately about this finding.
Rationale 2: As the red blood cells are hemolyzed, bilirubin is released, resulting in jaundice. Jaundice is an expected condition in hemolytic anemia.
Rationale 3: The expected cardiac effect of anemia is tachycardia. If the patient becomes bradycardic, the health care provider should be contacted immediately.
Rationale 4: Enlargement of the liver is an indicator of persistent hemolysis and will likely be present when the patient is first admitted.
Rationale 5: Itching is caused by the increased bilirubin in the skin. This is not an emergent condition.

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