Answer: the nurse will refer this child to a specialist for a bone marrow biopsy.
Explanation:
From the symptoms which where observed by the primary health care provider, the child had recurrent fevers, bone pain, and a recent loss of weight. While the physical examination revealed scattered petechiae, lymphadenopathy, and bruising. On further Laboratory diagnosis of the blood film, the full blood count revealed:
--> thrombocytopenia ( low platelet level)
--> anemia( lack of red blood cells) and
--> an elevated white blood cell count.
The major importance of full blood count is to evaluate the general health and detect a variety of of disorders. Since the blood picture is not normal, the health care provider should refer the child for BONE MARROW BIOPSY.
This is because the blood cells are produced from the bone marrow. Bone marrow biopsy is a test done to show if the bone marrow is healthy and able to make normal amount of blood cells.
The results of the bone marrow biopsy will help the primary care nurse to determine the cause of the abnormalities seen in the blood picture and will give the best directions to follow for an appropriate diagnosis and treatment.
paragraph (12) specific portion of Board Rule 217.12, Unprofessional Conduct, of the board rule 217.12 provides directions for the nurse regarding job abandonment and conduct that may also be Board-reportable.
what do you mean by unprofessional conduct ?
Unprofessional behaviour involves the commission of one or more crimes involving minors, as well as one or more acts of misconduct, immorality, moral turpitude, or improper behaviour.
Unprofessional conduct is defined by the Medical Practice Act as "any departure from or failure to adhere to the minimal norms of acceptable and established medical practice, including, but not limited to, the prescribing or use of medications, treatments, or diagnostic procedures."
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The nurse needs to be aware about the various blood types, blood transfusion techniques, and reaction monitoring techniques.
Transfusing whole blood or blood components is a component of blood transfusion therapy (BT) (specific portion or fraction of blood lacking in patient). Following a blood transfusion, the patient is susceptible to a number of transfusion-related complications, including graft versus host disease, allergy, febrile (non-hemolytic), and hemolytic responses. Nurse must Check the doctor's order. Inform the client and describe the procedure's goal. Verify the type and cross-matching. To make sure there's a fit Obtain baseline vital readings and record them. adhere to stringent asepsis The label of the blood transfusion is checked by at least two registered nurses.
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Given what we know about rheumatoid arthritis, we can confirm that the nurse can determine that the teaching is effective when the client makes the statement that "<em>Rheumatoid arthri</em><em>tis includes </em><em>joint involvement </em><em>that is usually </em><em>symmetric </em><em>and </em><em>polyarticular</em>".
Arthritis is one of many diseases in the autoimmune category. An autoimmune disease is one in which the immune system of the patient attacks its own cells. <em><u>The reasons behind this remain unknown</u></em>. In the case of Rheumatoid arthritis, the attacks remain isolated to the joints. The immune system causes the joints to be unable to produce synovial liquid, which causes inflamation.
As stated by the patient, Rheumatoid arthritis includes joint involvement that is usually symmetric and polyarticular. What this means is that any diarthrodial joint can be affected by the condition and is usually collateral, meaning that <u>if the left hand is affected, the right hand often is as well.</u>
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