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Case Study: Pediatric Cancer
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Mario is a 7-year-old male who presents with a 1-week history of body aches and pallor. He has a 2-day history of fever to 103° F and a 1-day history of bruising and lethargy.
Subjective Data
- Complains of hurting all over
- States he feels very tired
- States he feels dizzy when he stands up
Objective Data
- Weight 26.1 kg
- Vital signs: T 38.9° C, P 140, R 40, BP 108/54, O2 sat 100%
- Purpural rash on extremities
- WBC 0.7
- HGB 3.1
- Hct 8.5
- Plt .08
- ANC 0.1
4. Question 1
Which of Mario’s presenting symptoms must be treated and stabilized before chemotherapy induction?
5. Question 2
What testing is required for a definitive diagnosis of meningitis?
6. Question 3
What should the nurse do in this clinical situation? Prioritize actions.
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