Image transcription text A nurse preparing to

Image transcription text A nurse preparing to collaborate with interdisciplinary team about the child’s care. Medical Physical Vital Diagnostic History Examination Signs Results Medical History Child presented to provider’s office 3 days ago. Guardians were concer… Show more THIS IS AN ADDITIONAL INFORMATION: Physical Examination Cardiovascular: Mild tachycardia, regular rhythm, no murmur. Respiratory: Lungs clear in all fields, adequate air movement, no work of breathing. Gastrointestinal: Abdomen soft, active bowel sounds in all quadrants. Genitourinary: Adequate urine output. Last bowel movement 6 hr ago. Musculoskeletal: Moves all extremities against mild resistance. Neurological: Alert when awake, follows simple commands, responds appropriately for age. Integumentary: Small area of petechiae to chest. Patient received platelet and packed red blood cell transfusions 1 day ago. Guardians report rash looks “Much improved.” Psychosocial: Guardians involved in care and at bedside. They report child has been more “clingy” than usual and has not seemed eager to play with toys. Vital Signs Temperature: 38 C (100.5°F) Heart rate: 130/min Respiratory rate: 24/min Blood Pressure: 95/50 mm Hg Diagnostic Results Bone marrow aspirate and biopsy: monotonous infiltrate of blast cells Cytogenetic Studies: high hyperdiploidy Immunophenotype: B cell involvement Peripheral blood smear: blast cells Provider’s office: Hemoglobin: 7.6 g/dL (9.5 to 14 g/dL) Platelets: 120.000/mm3 (150.000 to 400,000/mm3) White blood cell count: 3,200/mm3 (5,000 to 10,000/ mm3) THE IS ON THE ATTACHED IMAGE. THANK YOU! SCIENCE HEALTH SCIENCE NURSING PEDS 602

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