A young female client has pale nailbeds. Her hemoglobin count is 10.2 gm/dL and her hematocrit count is 30%. She reports fatigue and states, "I'm tired all the time." The client also reports excessive menstrual flow. The nurse assesses further and determines the client's diet is balanced and provides adequate calories. The client is prescribed supplemental iron therapy. The highest nursing diagnosis is
a) Altered nutrition: less than body requirements, related to inadequate intake of nutrients
b) Altered tissue perfusion related to diminished oxygen-carrying capacity of the blood
c) Fatigue related to diminished oxygen-carrying capacity of the blood
d) Deficient knowledge related to new information with no previous experience
Answer: Altered tissue perfusion related to diminished oxygen-carrying capacity of the blood