Difficulty: Medium
Average Score: 95%
Simulated
The client diagnosed with anemia is admitted to the emergency department with dyspnea, cool pale skin, and diaphoresis. Which assessment data warrant immediate intervention?
Correct answer
A
Rationale
Tachycardia, tachypnea, and hypotension (A) indicate severe anemia with hypoxia, requiring immediate action. Allergies (B), chemo history (C), and normal ABGs (D) are secondary.