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.
Answer:
Gallbladder And liver
Explanation:
Accessory Organs of Digestion. Liver. This is a very busy organ with lots of functions, but as far as digestion is concerned, it produces bile, which is secreted into the small intestine to help break down fats and oils. Gallbladder. A small bag-like organ that stores the bile until it's necessary.
The nurse would expect the administration of calcium gluconate to be included in the plan.
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Why calcium gluconate should be included?</h3>
Less than 7 mg/dL of serum calcium indicates the necessity for oral or intravenous calcium gluconate treatment. If the newborn experiences hyperbilirubinemia, phototherapy would be applied. The newborn's blood glucose levels would be stabilized, and hypoglycemia would be avoided, using intravenous glucose solutions. Feedings support bilirubin excretion, lower hematocrit, and glucose management.
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