A client with severe anemia reports symptoms of tachycardia, palpitations, exertional dyspnea, cool extremities, and dizziness w
ith ambulation. Laboratory test results reveal low hemoglobin and hematocrit levels. Based on the assessment data, which nursing diagnoses is most appropriate for this client?
Ineffective tissue perfusion related to inadequate hemoglobin and hematocrit
Explanation:
According to the symptoms presented by the patient we can conclude that he has an ineffective perfusion of tissues related to inadequate hemoglobin and hematocrit. Ineffective tissue perfusion has been caused by a lack of oxygenation in the blood. The patient's blood hemoglobin levels are very low, so the heart works twice to pump blood much faster to compensate for this hemoglobin deficiency in the body. This effort from the patient's heart results in increased cardiac load that will cause the symptoms the patient is complaining about.
TRUE: Food that will be served immediately can be reheated to any temperature as long as the food was cooked and cooled properly. Food reheated for hot-holding must reach an internal temperature of 165℉ within two hours. The food needs to stay at this temperature for at least 15 seconds before serving.
