A 2-year-old child's hemoglobin is 8.2 g/dL. What action by the nurse is best?
A.
Ask the parents about activity level.
B.
Document findings in the chart.
C.
Notify the provider immediately.
D.
Schedule a re-draw of blood in 6 months.
ANS: A
The normal hemoglobin for a child this age is 10.55-12.7 g/dL, so this child is somewhat anemic. The nurse should assess for other manifestations of anemia, including normal activity level. The findings should be documented, but this is not the only action that the nurse should take. The provider needs to be notified, but it does not have to be done immediately, as this is not an emergency. After a full evaluation, the provider may or may not want to repeat the laboratory work in 6 months.
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