Case Study: A CHILD WITH ACUTE LYMPHOCYTIC LEUKEMIA M.R. is a 5-year-old seen in an ambulatory clinic for loss of weight. HISTORY: The child has had a series of upper respiratory infections with accompanying herpes simplex infections and otitis media since midwinter. They have lost 5 lb during spring months. The birthing parent has noticed “easy bleeding for the last 2 weeks.” The child has five ecchymotic areas on arms and seven on legs. Gums bleed easily as well. FAMILY PROFILE: The family is intact. The child is the youngest of four children (others are 19, 16, and 14 years). The nonbirthing parent works as self-employed landscaper. The birthing parent works part-time as a substitute language teacher. DAY HISTORY: Nutrition: The child likes all foods; appetite loss noticed during spring months. The child takes one multivitamin tablet daily. Sleep: Sleeps 8 hours per night; still sleepy in morning and difficult to awaken. Recreation/school: Enjoys playing soccer or with “Barbie dolls” after school but hasn’t played soccer for the last 2 weeks because of fatigue. The child attends kindergarten at local school; they have missed 32 days since start of second semester from illness or “tiredness.” HISTORY OF PAST ILLNESSES: Immunizations up to date. No hospitalizations. No allergies. PHYSICAL EXAMINATION: Height: 43 in. (75%); weight: 32 lb (3%); BMI: 13.4; BP: 102/60 mm Hg General appearance: Listless-appearing, pale 5-year-old White female; patch in place over right eye; four ecchymotic areas approximately 3 cm × 2 cm obvious on arms. Child appears tired; had been sleeping in waiting room; their nose is draining clear fluid and they were holding hand over left ear.   M.R. is diagnosed as having acute lymphocytic leukemia (ALL). Question 4 of 4: Thinking of the QSEN competency of safety, an action you would ask M.R.’s parents to take if M.R. develops thrombocytopenia from chemotherapy is to which of the following?

Executives at Sustainergy believe that their efforts to protect the environment will benefit the earth and the company in the short and long term. This reflects which of Bullis and Ie’s corporate stances towards sustainable development?

Case Study Question 6 of 6 16-year-old client with fainting episodes is admitted to the medical surgical unit to treat the dehydration. The nurse has implemented the treatment plan and provided education on the medical complications and the psychosocial components of anorexia. For each finding, click to specify if the patient’s statement indicates an understanding, or no understanding of the education provided. 

Which of the following descriptions below would correctly identify the following?   42  He

What is the name of the counterstain used in the Gram procedure?  What color does it produce?

According to Lovejoy and Saxton: A social media post encouraging people to attend a protest about chemical emissions from the Lanxess plant is: . A social media post reporting findings from a study of chemical emissions around the Lanxess plant is .

A Louisiana governor promotes unrestricted oil drilling on the coast, saying the environment is there to serve human needs. This approach reflects which of Corbett’s ideologies?

Which of the following represents “Direct Action” in activism?

Environmental health activists are often:

DeLuca and Slawter-Volkening’s rhetorical analysis of the Cleveland Zoo (discussed in class) pointed out that the “RainForest” exhibit did not mention: