For a 78-year-old client presenting with fatigue and lab results indicating low hematocrit and hemoglobin, what should the nurse prioritize as an intervention?

In the context of a 78-year-old client experiencing fatigue alongside low hematocrit and hemoglobin levels, prioritizing a complete nutritional assessment is crucial because these lab results often indicate anemia, which can be influenced by nutritional deficiencies. Iron, vitamin B12, and folate are essential for erythropoiesis (the process of red blood cell production). By conducting a thorough nutritional assessment, the nurse can identify potential deficiencies that may be contributing to the anemia, which is especially relevant in older adults who may have altered dietary habits or absorption issues.

Understanding the client's dietary intake and nutritional status can guide appropriate interventions, whether it be dietary changes or specific supplementation, to address the underlying cause of the anemia. This approach aims at treating the condition holistically, rather than addressing just the symptoms (like fatigue) or immediate consequences (such as the need for oxygen or transfusions). Ultimately, the goal is to enhance the client’s overall health and well-being by improving their nutrition.