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J.D. is a 62-year-old patient who has been diagnosed with Acute Myeloid Leukemia (leukemia has developed from the myeloid cell line) nine months ago. His height is 6’0″ and his weight is 155 lbs. His chief complaint when coming to the hospital was that he stated he has severe muscle weakness and fatigue. J.D. has stated that he has a smoking history of 32 packs per year. J.D. also stated that he only drinks alcoholic beverages once per month for social gatherings. He has no known allergies, and his code status is full. His family history is that his mother died of leukemia at age 72. His mother was also a chronic smoker. J.D.’s father has hypertension and type 2 diabetes. He also has two siblings, both of whom he stated are healthy and have no known health issues. Has not been hospitalized in the past for issues related to AML such as extreme, unwanted weight loss or dehydration. His current medications are Cytarabine (Cytosar) and daunorubicin for combination chemotherapy, dolasetron (Anzemet) as needed for chemotherapy-related nausea. Upon admission to the emergency department, J.D.’s vital signs are the following: blood pressure of 104/66, oxygen saturation of 89% on room air, a temperature of 100.8 degrees Fahrenheit, respiratory rate of 18 breaths per minute, and a pulse of 84 beats per minute. His standing orders for vital signs are every four hours. Laboratory/Diagnostic Testing J.D.’s red blood cell count is 3.5 million. It is considered in the lower range. However, his white blood cell count is 99,000/mm3 which is considered very elevated. J.D.’s hematocrit level is 38%, which is within the normal range. His hemoglobin count is 9 g/dL. It is considered low because normal values are 14-18 g/dL. His platelet count is 100,000/mm3 which is considered low. A bone marrow aspiration and biopsy are tests in which a small sample of bone with bone marrow inside it is taken out, and it is usually from the hip bone (Mayo Clinic, 2018). J.D.’ Based on this Scenario can you write nursing management for this case ? Can you write 4 nursing full Nursing care plan? Thanks

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