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A client has fatigue, temperature of 99.5° f (37.5° c), dark bronze skin, and dark urine. hemoglobin level 9 g/dl (90 g/l); hematocrit is 49 (0.49), and red blood cells are 2.75 million/µl (2.75 x 1012/l). what should the nurse do first?
a.place the client on bed rest.
b.place the client on contact isolation.
c.initiate an intake and output record.
d.keep the client out of sunlight.

Respuesta :

Diatonic254
The answer is C
The nurse's first response is to begin an intake and output record. The client is showing signs of anemia with jaundice and exhibiting fluid imbalance. At this point, the client should not be placed on bed rest.The client is also not contagious and will be unnecessary if the client is placed on contact isolation. Client will not be affected by sunlight since he might have jaundice due to the changes of color of the urine and skin.

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