Emily Jones a 20-year-old female presents to the University Health Service with a 102ºForal temperature, swollen lymph nodes in her neck, and a severe sore throat. Emily states that she has been sick for 2 or 3 days and her symptoms have been getting worse with each passing hour. After a “normal” past medical history is obtained and a thorough examination is completed by the practitioner, Emily is prescribed antibiotic therapy, nonsteroidal anti-inflammatory medication, fluids, rest, and instructions to return to the Health Service if she is not starting to have improvement in her symptoms within the next 72 hours. Despite following the orders of the practitioner, Emily’s condition continues to worsen. Forty-eight hours later she returns to the Health Service with a 104ºForal temperature, worsening throat pain, and signs of dehydration. The practitioner obtains blood test from Emily and instructs her to continue the prescribed therapy. Results of the blood tests return to the practitioner 4 hours later. They reveal: WBC---86,000 mm3, Platelet Count---18,000 per µL, Hgb---7.1 g/dL, and HCT--- 24%. Emily is diagnosed with acute leukemia and admitted directly to the local hospital for typing of the disease and the start of aggressive treatment. (Learning Objectives 3, 4, 10) 1. Discuss the pathophysiologic effect of the elevated WBC. 2. E 4. State two nursing considerations for each of Emily’s disturbed lab values (elevated WBC, decreased platelets, decreased Hgb and HCT).