Cold for about month, Evalyn, 22 months old, has been

Cold for about month

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Evalyn, 22 months old, has been brought to the clinic by her parents because she has had a "cold" for "about a month" and just doesn't seem to get any better. Evalyn has not seen a physician since she was 6 months old because her parents cannot afford to pay doctor bills and have no health insurance. According to Evalyn's parents, she is a very irritable child and a picky eater, and she tires easily. The mother reports that Evalyn does not take any multivitamins. Further investigation reveals that Evalyn's mother was anemic during pregnancy, that Evalyn was placed on cow's milk at age 9 months, and that Evalyn drinks about 6 cups of milk each day. Emma's birthweight was 2.73 kg and her length was 48.6 cm. Today, Emma weighs 10.55 kg and is 28 inches tall. Emma appears pale and listless. Her temperature is 37.5°C, HR 160 bpm, and BP 90/50, and her skin is warm and dry to touch. A. On physical examination, what would the nurse pay particular attention to?

Reference no: EM133789523

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