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Original Question

Anemia Evaluation Patient Profile R.D. is a 51-year-old man who comes to the emergency department (ED) with weakness and abdominal pain. He reports he is homeless. His medical history includes methicillin-resistant Staphylococcus aureus (MRSA) bacteria of the nares. Subjective Data Reports he does not drink or eat food consistently Says he has no family or any social support Had “a drink or two a little while ago” Objective Data Physical Examination Blood pressure 144/86, pulse 92, temperature 98.2°F, respirations 24 Height 6’1″, weight 170 lb Heart rhythm irregular Oxygen saturation 89% on room air Alert, oriented to person and place Capillary refill sluggish in lower extremities; normal in upper extremities 2+ edema in lower extremities Discussion Questions What health history information would you obtain from R.D.? Describe what R.D.’s physical assessment should include. Based on the clinical manifestations that brought R.D. to the ED, what diagnostic tests would you expect to be ordered and what would each test contribute? What factors in R.D.’s history place him at risk for anemia? What are the priority nursing diagnoses for R.D.? What resources might be available to this R.D. after he is discharged from the hospital?

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