A 8-year old child presents in the Emergency Department (ED)…

A 8-year old child presents in the Emergency Department (ED) complaints of intermittent headache for a few weeks now.  The parents tells the triage nurse that the child has had nausea & vomiting for the last couple of days, has difficulty reading, and seems to be “off balance” when getting out of bed in the morning.  The physician orders an MRI of the child’s head, neck, and chest. What might you as the triage nurse suspect is causing this child’s symptoms?

A previously healthy child presents to the emergency departm…

A previously healthy child presents to the emergency department (ED) with a 2 week history of intermittent fever, bruising and decrease activity. CBC with differential and a chemistry panel are drawn. The child is started on IV fluids. The nurse receives a call from the lab with some critical values – the WBC 1.4(K), with 50% blasts reported, ANC is 200 and hemoglobin is 9.0%. Based on the information above, what is the nurse’s next best action?

A 15 year old male arrives to the outpatient clinic for his…

A 15 year old male arrives to the outpatient clinic for his chemotherapy infusion.  The teenager begins vomiting as soon as he gets into his room and sees the nurse who will be accessing his Port-a-cath to start the infusion.  What medication would be the BEST choice for this patient at this time and what is the rationale for selecting this medication? [medication1] [rationale2]  (short answer please)

A previously healthy child presents to the emergency departm…

A previously healthy child presents to the emergency department (ED) with a 2 week history of fever, bruising and decrease activity. CBC with differential and a chemistry panel are drawn and the child is started on IV fluids. The nurse receives a call from the lab with some critical values – the WBC is 1.4(K), with 50% “blasts”, ANC is 200 and hemoglobin is 9.0%. Based on the presentation of the child above to the ED and the lab values, what test would be ordered to determine a definitive diagnosis for this child?