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?