A nurse is reviewing the medical record of a client. The client has a hemoglobin of 9.5 g/dL, platelets of 75,000 mcL, and a BUN of 22 mg/dL. The client reports increased fatigue and shortness of breath when ambulating, and weight has decreased by 10 lbs over the past month. The abdomen is distended and tender to palpation with hypoactive bowel sounds. Which of the following actions should the nurse take?