SCENARIO: G.C. is a 78-year-old widow who

SCENARIO: G.C. is a 78-year-old widow who relies on her late husband’s Social Security income for all of her expenses. Over the past few years, G.C. has eaten less and less meat because of her financial situation and the trouble of preparing a meal “just for me.” She struggles financially to buy medicines for the treatment of hypertension and arthritis. She goes to the outpatient clinic complaining that over the past 2 to 3 months she has felt increasingly tired, despite sleeping well at night. Her vital signs (VS) are 136/76, 16, 80. She denies any dyspnea or palpitations. The nurse practitioner orders blood work. G.C.’s chemistry panel findings are all within normal limits and a stool guaiac test result is negative. Her other results are shown in the chart. Laboratory Test Results: Test Result Interpretation White Blood Cells (WBC) 5.0 x 109/L Hematocrit (Hct) 0.27 Hemoglobin (Hb) 83 g/L Platelets 195 X 109/L Mean Corpuscular Volume (MCV) 62 fL Mean Corpuscular Hemoglobin (MCH) 30 pg MCH Concentration (MCHC) 325 g/L Red Cell Distribution Width (RDW) 13% Iron (Fe) 6 mmol/L Total Iron-Binding Capacity (TIBC) 65 mmol/L Ferritin 15 pmol/L Vitamin B12 254 pmol/L Folate 400 nmol/L : 1. Using SBAR, write the sample report for the nurse coming on shift.

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