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Question
Christopher (Chris) Matthews' mother states he has had diarrhea for 3 days. He kept her up all night last night going to the bathroom at least three times. He says his stomach hurts, but he has not vomited, although he is eating very little. While you are preparing to weigh the patient, he initially does not want to get on the scale and begins to cry. After his mother has persuaded him to get on the scale and you have obtained all the measurements and vital signs, you check his immunization record. While doing so, you see a note on his chart indicating he is home-schooled and his parents have refused immunizations.
1. Considering Chris Matthews's age, what special aspects of care should you be aware of while caring for him?
2. What information (chief complaint) should you chart regarding Chris Matthews?
3. What screening and diagnostic tests would you perform or assist the licensed practitioner in performing?
4. How should the medical office approach the issue of immunizations, since his parents are against immunizations?
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