Client profile: Ashlee is a 4-year-old preschooler

Client profile: Ashlee is a 4-year-old preschooler who lives with her parents and two older siblings in a suburban environment. Case Study: During the past two weeks, Ashlee has been less active than usual and has begun taking one or two naps in the afternoon. Her grandmother and parents think she looks pale, reasoning that it is because of her high activity level, until her interest in going outside to play decreased dramatically. When they take her temperature, it is elevated, so they administer acetaminophen without effect. At this point, they decide to take her to see her pediatrician. Although the health care provider found Ashlee’s manifestations consistent with an upper respiratory infection, Dr. Polster is concerned and decides to admit Ashlee to the hospital for tests to rule out leukemia. Admission orders include: IVF 5 ½ + 30 mEq NaCO3/L @114cc/hr Vital signs q 4 hours. Strict I&Os. Labs…and Chest X-Ray Ashlee is 38 lbs (17.2 kg) and 39 inches (99 cm). Body Surface Area 0.67. She has NKA. Her admission vitals are: Temp 38° C (100.4 °) HR 120 RR 28 B/P 100/60 Pain 3/10 on FLACC scale O2 Sats 100% on R/A. Questions: What diagnostic tests would you expect to be ordered for Ashlee? SCIENCE HEALTH SCIENCE NURSING NURSING NUR 254

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