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180 leukemia the confirmatory test for leukemia is

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Unformatted text preview: the fontanels have closed, nausea, excessive vomiting, diplopia, and headaches become pronounced, with headaches becoming more prevalent in older children. 180. Leukemia The confirmatory test for leukemia is microscopic examination of bone marrow obtained by bone marrow aspirate and biopsy. A lumbar puncture may be done to look for blast cells in the spinal fluid that indicate central nervous system disease. The white blood cell count may be normal, high, or low in leukemia. An altered platelet count occurs as a result of the disease but also may occur as a result of chemotherapy and does not confirm the diagnosis. 181. Leukemia The risk of injury to fragile mucous membranes is so high in the child with leukemia that oral, tympanic, or axillary temperature should be taken. Rectal abscesses can occur easily to damaged rectal tissue. No rectal temperatures should be taken. In addition, oral temperature taking should be avoided if the child has oral ulcers. Options 2, 3, and 4 are appropriate measures to prevent infection. 13 182. Leukemia For the hospitalized neutropenic child, flowers or plants sh...
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