In this discussion, you will need to begin to explore your future
role as a masters-prepared nurse and consider potential differential
diagnoses for a child after reading a brief scenario.
Please answer the following:
1. What are the priority areas of concern for the masters-prepared
nurse to consider in reviewing the individual’s diagnostic test results?
2. What are the usual treatment options for individuals suffering
from his condition based on the potential differential diagnoses?
Explain your rationale for your choices, citing resources from the literature.
John, a four-year-old boy, is being admitted to your unit for further
treatment, management, and confirmation of diagnostic test results. His
most recent complete blood count revealed a total white blood count of
250,000/µL. John has loss of appetite, is easily bruised, has gums that
bleed frequently, and has marked fatigue. The physical exam reveals that
he has splenomegaly, pale skin color, an oral temperature of 102°F, and
some upper abdomen tenderness.
3. What would you expect the patient to look like? What are the risks
associated with the medical and nursing interventions? What are your
plans to address these potential risk factors as a master’s-prepared