Progress Notes Laboratory Results Date/Time Provider Progress Notes 04/01/20XX Client: Aiden Jackson, 2 years old Chief Complaint: Fatigue, Pallor Subjective: Aiden, a 2-year-old male, is brought to the pediatric clinic by his parents with a chief complaint of persistent fatigue and pallor. The parents report that Aiden often appears tired, even after a good night’s sleep, and they have noticed a paleness in his skin that seems more noticeable in recent months. The parents report Aiden is a “picky” eater. The parents report a mild speech delay. Objective: Upon examination, Aiden appears pale, and there is mild splenomegaly noted upon palpation. Vital signs: heart rate of 110 bpm, respiratory rate of 26 bpm, blood pressure of 90/60 mmHg, and a temperature of 98.6 °F (37 °C) oral. 04/01/20XX Client: Aiden Jackson, 2 years old Family History: The parents report a family history of thalassemia. The nurse practitioner (NP) counsels the family after a complete blood cell count confirms a diagnosis of anemia and genetic testing confirms a diagnosis of thalassemia. Which of the following education topics should the NP include? Select all that apply. Recommend iron supplements Nutritional guidance Adherence for follow-up visits Genetic counseling Treatment options
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