451 Nursing Practice Paper

Nursing Practice Paper, APA Style (Riss)

ALL and HTN in One Client

Acute Lymphoblastic Leukemia and Hypertension in One Client:

i

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A Nursing Practice Paper

Julie Riss
Nursing 451
Professor Durham
May 18, XXXX

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Source: Tom Jehn and Jane Rosenzweig (Boston: Bedford/St. Martin 's, 2007).
move all extremities, though he is generally weak. Capillary refill is less than 2 s. His peripheral pulses are strong and equal, and he is positive for posterior tibial and dorsalis pedis bilaterally. His lungs are clear to auscultation, his respiratory rate is 16, and his oxygen saturation is 99% on room air. He has positive bowel sounds in all quadrants, and his abdomen is soft, round, and nontender. He is on a regular diet, but his appetite has been poor. Client is voiding appropriately and his urine is clear and yellow. He appears pale and is unkempt. His skin is warm, dry, and intact. He has alopecia as a result of chemotherapy. His mediport site has no redness or

Assessment uses a neutral tone.

inflammation. He appears somber and is slow to comply with nursing instructions.

Medical Diagnosis #1: Acute Lymphoblastic Leukemia
Leukemia is a neoplastic disease that involves the bloodforming tissues of the bone marrow, spleen, and lymph nodes. In leukemia the ratio of red to white blood cells is reversed. There are approximately 2,500 cases of acute lymphoblastic leukemia (ALL)

Source: Tom Jehn and Jane Rosenzweig (Boston: Bedford/St. Martin 's,