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:
HERSHEYYYYYYYYYYYYYYYYYSSSS or sour patch
Answer: 24 months
Explanation:
According to John Bowlby's Attachment Theory, infants go through 4 stages of attachment which are the Pre-attachment phase, Attachment-in-making phase, Clear-cut attachment phase, and Formations of reciprocal relationships phase.
Anna is in the <em>Formations of reciprocal relationships</em> phase which kicks in at around 24 months. At this stage, infants begin to take into account the feelings of others before acting. They are able to understand what refusal means and so can try to hide things they think are wrong so as not to get into trouble.
The nurse can respond that the BMI and condition of the patient meets the criteria for a bariatric surgery.
<h3>What is a bariatric surgery?</h3>
Bariatric surgery is performed for the patient to lose weight, this is achieved by changing the digestive system by making a gastroesophageal reduction. This causes the caloric intake to decrease since less will be consumed than it was before, this without altering the appetite.
This procedure is performed when diet and exercise are not effective for weight loss. This is how morbidity and mortality are prevented.
Among the indications is to be between 18-60 years old, a BMI of 35-40 kg/m² associated with a disease associated with worsening comorbidity, obesity over 5 years, among others.
Therefore, we can confirm that the nurse can respond that the BMI and condition of the patient meets the criteria for a bariatric surgery.
To learn more about bariatric surgery visit: brainly.com/question/6647731
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