During the change-of-shift report, the nurse learns that an assigned client has a hemoglobin level of 8 g/dL. Based on this information, the nurse should plan to:
1. Keep the client on strict bedrest to restrict activity.
2. Encourage ambulation to prevent thrombophlebitis.
3. Space activities in order to conserve energy.
4. Prevent exposure to infectious diseases.
Answer: 3
1. Strict bedrest would not be necessary.
2. Platelet abnormalities and inactivity place client at risk for thrombophlebitis.
3. Hemoglobin is the oxygen-carrying protein in red blood cells; 8 g/dL is well below the normal level of 12-15 g/dL, and would predispose the client to dyspnea, fatigue, and weakness.
4. Hemoglobin level does not measure exposure to infectious diseases.
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