The primary care nurse practitioner is examining a 5-year-old child who has had recurrent fevers, bone pain, and a recent loss of weight. The physical exam reveals scattered petechiae, lymphadenopathy, and bruising. A complete blood count shows thrombocytopenia, anemia, and an elevated white cell blood count. The nurse practitioner will refer this child to a specialist for what diagnostic testing

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.

2. Upon retraining, how many successive tests must be
passed by personnel who have previously failed any written
tests, observations, or sampling and media fill?
O A. TWO
B. Four
C. Five
D. Three

whem does spermatogenesisi begin​

1. The most widely found natural fiber is cotton,
O True
False
It’s actually a Forensic science question

A bag contains 2 striped cubes, 3 dotted cubes, 4 white cubes and 3 red cubes. What is the probability of drawing a white cube, not replacing it, and then drawing a dotted cube?

Topic Test

The USP35 contains information about excipients. Excipients are

a. patients who cannot take a medication
b. patients who are able to take a medication
c. active ingredients of a drug
d. nondrug ingredients

Please select the best answer provided

What are some techniques you would use to coach a patient?

How old should I be to begin studying for a doctor?

If 2mL contains 6 doses. How many mL per dose?

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Which type of medication would MOST LIKELY be prescribed to treat a dry, nonproductive cough?

a. antitussives
b. expectorants
c. vaccinations
d. decongestants

Gastrointestinal stimulants help treat gastroesophageal reflux disease by

a. increasing the amount of hydrochloric acid produced during digestion.
b. increasing the rate of stomach emptying to inhibit the flow of materials back into the esophagus.
c. blocking the dopamine neurotransmitter in gastrointestinal nerves and in the vomiting center in the brain.
d. inhibiting smooth muscle contractions in order to interrupt peristalsis.

The patient comes in complaining of syncope. The patient mentions that he has lost a sister earlier to heart disease and he is worried that heart disease runs in the family. The patient is 30 years old and he is tall and skinny.

What means of nonverbal communication can medical assistants use to help overcome language barriers?

Which BEST explains why a patient who had a myocardial infarction will never recover, in spite of all the drugs prescribed to him?

a. The drugs are only effective for extremely active, healthy individuals.
b. The drugs cannot rebuild the cells that died, but they can limit the death of more.
c. The drugs restore blood flow to some of the arteries, but not arteries in legs.
d. The drugs prevent another heart attack, but other damage has already occurred.

Which type of drug binds to glucocorticoid receptors to stop cells from making an inflammatory response?

a. supplements
b. xanthine oxidase inhibitors
c. steroids
d. muscle relaxants

What compound will cause hemoglobin in blood to fluoresce
under black light?

Which comments would most likely show up on part two of the admission process? Check all that apply.
The patient's heart rate is 66 beats per minute.
The patient typically sees Dr. Smith for family medicine.
The patient's face is showing red, patchy marks.
He patient was born on June 12, 1978. The patient is showing no sign of pain around the affected area,
The patient breaks out in a rash when taking amoxicillin.​

(HURRY PLEASE) Which is one way that medical offices comply with the HIPAA technology standards?
a) by disclosing information to other facilities and organizations
b) by showing patients how to access their own electronic records
c)by providing the same password to multiple employees
d) by encrypting patient records and other confidential information

what's the primary difference between compression on an adult vs. small child ​

How many people died before getting vaccinated from polio?

Tam, a college student, accidentally drops a pair of scissors on his foot one night, and the sharp edge cuts his foot. The cut does not stop bleeding, and Tam realizes he had forgotten to take his pills that morning. He goes to the campus emergency center and tells a nurse what had happened. What would a nurse MOST LIKELY do to stop the bleeding quickly and effectively?

a. apply a hemostatic drug directly on the cut so that clotting factors from the drug help the blood to clot.
b. apply clopidogrel directly on the cut so that platelet aggregation is inhibited and blood is able to come together in a clot.
c. administer a shot of a hemostatic drug in the arm so that the liver produces fewer clotting factors.
d. administer a shot of heparin deep into a vein in order to block clotting factor X and stop heavy blood flow to the foot.

How many amnio acids are found in nature

Can someone give me some positive vibes?

List a minimum of five guidelines for the administration of parental medication

Immunosuppressant drugs destroy some immune system responses. Even though this can weaken the body's defenses against some infections, immunosuppressants are still a powerful treatment for a chronic autoimmune disease. Which disease is treated by immunosuppressant drugs?

a. osteoarthritis
b. rheumatoid
c. cerebral palsy
d. muscular dystrophy

Doctors examining a senior citizen conclude that a large blood clot has formed in the patient's leg. The doctors need to dissolve the clot before it is released and causes damage to vital organs. What type of drug would MOST LIKELY be given to help dissolve a deep vein clot?

a. a herostatic drug
b. a thrombolytic drug
c. a clotting factor X inhibitor
d. an antibiotic drug

The patient comes referred to us by a physician. He experiences breathlessness and erratic heartbeat. He is 35 years old and a dwarf.

Lin complains to a doctor that he frequently experiences heartburn, indigestion, pain, and nausea. He also says that he vomits sometimes after meals. Which type of drug would the doctor MOST LIKELY prescribe to Lin?

a. an antacid, to treat the effects of a peptic ulcer
b. a fiber supplement, to cure Crohn's disease
c. an absorbent drug, to prevent diarrhea
d. an immunosuppressant, to reduce anxiety.

What is fluticasone?

a. a mix of a bronchodilator and monoclonal antibodies
b. a bronchodilator that is mixed with a steroid to relax smooth muscles and prevent inflammation
c. a mix of drugs to prevent the release of histamine and prevent airway inflammation
d. a mix of corticosteroid drugs that is added to mast cell stabilizers to keep airways dilated

Describe how the patients insurance eligibility is confirmed