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[Answered]: Chantelle Jones, 52 years old Chief Complaint:…

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Chantelle Jones, 52 years old Chief Complaint: Fatigue, new development of sore tongue Subjective: Client reports continued and worsening fatigue and sore tongue since last visit; Client reports not taking iron supplement due to experiencing constipation; Client reports no changes in diet, fluid intake, or physical activity. Objective: Vital signs within normal limits; heart rate regular rate and rhythm, no murmur; clear breath sounds bilaterally; skin slightly pale; tongue reddened; hemoglobin 9 g/dL, ferritin 8 μg/L complete the sentence; During the visit the nurse practitioner (NP) should prescribe (A) parenteral iron replacement (B) a different type of iron supplement or (C) prescribe blood transfusion due to (A) the client’s intolerance to oral iron supplementation, (B) worsening anemia or (C) poor adherence to oral supplement.

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