[Solved]: W.G. is a 42-year-old Black male who lives at home. He

W.G. is a 42-year-old Black male who lives at home. He is being evaluated for a hemoglobin of 8.1 g/dL. He was diagnosed with hypertension at age 24 and is adherent to his medication treatment. At age 39, he was diagnosed with left-sided heart failure and chronic kidney disease. He arrived at his primary care provider’s office a week ago complaining of fatigue and shortness of breath. Upon obtaining lab results, his provider has sent to the hospital for evaluation of a blood transfusion. Review of symptoms includes glasses and dyspnea, mostly on exertion. Over the past year, he has been treated for three urinary tract infections. He has occasional palpitations of the heart. Bowel movements are regular, and he has not noticed any blood in the stool. He has 1+ chronic edema of the legs. He is too young for a screening colonoscopy but notes there is no history of gastric or colorectal cancer in the family. W.G.’s record indicates he has an allergy to sulfa drugs and penicillin. He is on the following medications: Amlodipine (Norvasc) 5 mg/day Calcium carbonate with Vit D twice daily Polyethylene glycol powder (MiraLAX) 17 g in 8 oz liquid daily Furosemide (Lasix) 40 mg/day Cinacalcet (Sensipar) 30 mg/day Simvastatin (Zocor): 20 mg at bedtime Vitamin B12 1,000 mcg twice daily Enteric-coated aspirin 81 g/day Upon physical examination, W. G. appears well nourished and groomed. He is mildly short of breath at rest, but in no apparent pain or distress. Vital signs indicate a BP of 150/92 mm Hg; pulse 85 bpm, temperature of 97.4 degrees F; respirations 20 breaths/minute, and oxygen saturation of 91% on room air. Blood is drawn and sent to the laboratory for CBC and basic metabolic panel. Results are: Laboratory Results Table Lab Result Lab Result Leukocytes 5,700 cells/mcL RDW-CV 15.8% RBC 3.02 million cells/mcL Platelets 150,000 cells/mcL Hbg 8.1 g/dL Glucose 82 mg/dL HTC 25.2% BUN 34 mg/dL MCV 83 fL Creatinine 1.4 mg/dL MCH 26.5 Hbg/cell GFR 38 mL/minute/1.73 m2 MCHC 32% The multidisciplinary team works with W. G. to create a treatment plan. It is felt that the client has iron deficiency anemia related to the chronic kidney disease. The client is prescribed ferrous sulfate, stool softeners, and erythropoietin administered subcutaneously every week. In your discussion post, answer the following questions: Discuss what relationship the laboratory results for MCV, MCH, and MCHC has with anemia? Why are these results important for nursing care? What is the relationship between chronic kidney disease and anemia? The client has been prescribed ferrous sulfate and a stool softener. Provide four priority health teaching points for the client about nutritional needs when taking these two medications. The client has been prescribed erythropoietin. How will this medication address the client’s anemia?