Question

Rosalie Halverson, a 63-year-old accountant, is undergoing her annual physical at the primary care office where

you practice nursing. She reports overall good health, other than decreasing appetite (which she attributes to frequent heartburn) and increasing headaches and fatigue. In your nursing assessment, you note conjunctival and oral mucosa pallor. Her lab results indicate she is anemic, and you are discussing its etiology, symptoms, and potential interventions.

• 1. Mrs. Halvorson questions how she could be anemic when she “doesn’t have symptoms.” What factors contribute to the manifestation of anemia symptoms?
• 2. Which statement most indicates Mrs. Halverson’s need for education regarding anemia?
• 3. What dietary changes would you suggest for Mrs. Halverson? (Please be specific – consider her age, life-style, and any other factors that may affect her diet. Give detailed suggestions for breakfast, lunch and dinner – along with any snacks)
• 4. What might you suspect the doctor to order for Mrs. Halverson and what teaching needs to occur with this medication?