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LABORATORIES AND DIAGNOSTIC EXAMS

Date: September 18, 2018


TEST RESULTS NORMAL VALUES INTERPRETATION NURSING RESPONSIBILITY
Hemoglobin 16.9 12-16 g/dL May indicate dehydration  Explain the procedure. Explain
Hematocrit 48.8 34-47% May indicate dehydration that there is slight discomfort
RBC Count 6.47 3.5-5.5 Increase Blood Volume may be felt when skin is
WBC Count 4,000 4.5-11x10/mm Normal punched
Neutrophils 54 55-65% There is an infection  Encourage to avoid stress if
Lymphocytes 36 25-35% There is a an on-going infection possible because altered
Monocytes 08 2-10 Normal physiologic status influences
Eosinophils 01 0-5% Normal and changes normal
Basophils 01 0-1 Normal hematologic values
Platelet Count 12,000 150.0-400.0 Below Normal  Explain fasting is not
MCV 80 80-100ft Normal necessary
MCH 31 31-37pg Normal  Apply manual pressure on the
MCHC 35 31-36 Normal dressing over punctured site
 Monitor ounctured site for
oozing or hematoma formation
 Instruct to resume normal
activity and diet

September 26, 2018

TEST RESULTS NORMAL INTERPRETATION NURSING RESPONSIBILITY


VALUES
Hemoglobin 9.4 12-16 g/dL Indicates Anemia  Explain the procedure. Explain that there is slight
Hematocrit 28.3 34-47% Indicates Blood Cells below discomfort may be felt when skin is punched
the lower limit

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WBC 19,200 4.5- Indicates Leukopenia 
Encourage to avoid stress if possible because altered
11x10/mm physiologic status influences and changes normal
hematologic values
 Explain fasting is not necessary
 Apply manual pressure on the dressing over punctured site
 Monitor ounctured site for oozing or hematoma formation
Instruct to resume normal activity and diet
Lymphocytes 27 25-35% Normal  Monitor ounctured site for oozing or hematoma formation
Monocytes 8 2-10 Normal  Instruct to resume normal activity and diet
Eosinophils 1 0-5% Normal
Platelet 220,000 150.0-400.0 Normal
Count
MCV 80 80-100ft Normal
MCH 31 31-37pg Normal
MCHC 33.2 31-36 Normal
HBsAg NONREACTIVE

September 21, 2018


TEST RESULTS NORMAL INTERPRETATION NURSING RESPONSIBILITY
VALUES
Hemoglobin 8.2 12-16 g/dL Indicates Anemia  Explain the procedure. Explain that there is slight
Hematocrit 24.4 34-47% Indicates Blood Cells below the discomfort may be felt when skin is punched
lower limit  Encourage to avoid stress if possible because altered
MCV 75 80-100ft May indicate anemia; can be physiologic status influences and changes normal
caused by too much alcohol intake hematologic values
MCH 31 31-37pg Normal  Explain fasting is not necessary
MCHC 33.1 31-36 Normal  Apply manual pressure on the dressing over punctured
RDW 12.9 11.0 000-16 .0 Normal site
0 00 %

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WBC 30,300 4.5-11x10/mm Indicates infection  Monitor punctured site for oozing or hematoma
formation
Instruct to resume normal activity and diet
Lymphocytes 45 25-35% Indicates Infection  Explain test procedure. Explain that slight discomfort
Monocytes 6 2-10 Normal may be felt when the skin is punctured
Eosinophils 2 0-5% Normal  Encourage to avoid d stress if possible because altered
Platelet 20,000 150.0-400.0 Normal
physiologic status influences and changes normal
Count
hematologic values
 Explain fasting is not necessary
 Apply manual pressure and dressings over puncture site
 Monitor puncture site for oozing or hematoma formation
on
Instruct to resume normal activities and diet

September 20, 2018


TEST RESULTS NORMAL INTERPRETATION NURSING RESPONSIBILITY
VALUES
Hemoglobin 14.6 12-16 g/dL Normal  Explain the procedure. Explain that there is slight discomfort may be
Hematocrit 44.0 34-47% Normal felt when skin is punched
MCV 80 80-100ft Normal  Encourage to avoid stress if possible because altered physiologic
MCH 25.7 31-37pg Indicates Infection status influences and changes normal hematologic values
MCHC 34.9 31-36 Normal  Explain fasting is not necessary
RDW 15.5 11.0 000-16 .0 Normal  Apply manual pressure on the dressing over punctured site
0 00  Monitor ounctured site for oozing or hematoma formation
WBC 8,690 4.5-11x10/mm Normal Instruct to resume normal activity and diet
Segmenters 65 55-65 Normal
Lymphocytes 22 25-35% Indicates Infection

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Monocytes 5 2-10 Normal
Platelet 12,000 150.0-400.0 Indicates excessive  Explain the procedure
Count Bleeding  Inform that there is a little discomfort during the procedure
Sodium 126 138-146 Indicates Hyponatremia
 Apply light pressure on the site after the blood is being withdrawn
mmol/L
Potassium 4.45 3.5-4.9 Normal  Monitor patients condition
mmol/L
 Provide comfort measure
Creatinine 0.8 0.4-1.4 mg/dL Normal

September 23, 2018


TEST RESULTS NORMAL INTERPRETATION NURSING RESPONSIBILITY
VALUES
Hemoglobin 8.3 12-16 g/dL Indicates Anemia  Explain test procedure. Explain that slight discomfort may be
Hematocrit 25.0 34-47% Indicates Anemia felt when the skin is punctured
 Encourage to avoid d stress if possible because altered
physiologic status influences and changes normal hematologic
values
 Explain fasting is not necessary
 Apply manual pressure and dressings over puncture site

WBC 18,300 4.5- Indicates Infection  Monitor puncture site for oozing or hematoma formation on
11x10/mm
Segmenters 57 55-65 Normal  Instruct to resume normal activities and diet
Lymphocytes 39 25-35% Indicates increase infection
Monocytes 06 2-10 Normal
Platelet 64,000 150.0-400.0 Indicates Leukemia and
Count thrombocytopenia

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September 27, 2018

TEST RESULTS NORMAL VALUES INTERPRETATION NURSING RESPONSIBILITY


HGT 64 75-110 mg/dl Lower than normal Levels  Explain the procedure
 Inform that there is a little discomfort during the procedure

 Apply light pressure until bleeding stops

September 19, 2018


TEST RESULTS NORMAL INTERPRETATION NURSING RESPONSIBILITY
VALUES
Hemoglobin 15.5 12-16 g/dL Normal  Explain test procedure. Explain that slight discomfort may be
Hematocrit 43.2 34-47% Normal felt when the skin is punctured
MCV 75.6 80-100ft Indicates Iron deficiency  Encourage to avoid d stress if possible because altered
MCH 27.1 31-37pg Indicates anemia physiologic status influences and changes normal hematologic
MCHC 35.8 31-36 Normal values
 Explain fasting is not necessary
 Apply manual pressure and dressings over puncture site
 Monitor puncture site for oozing or hematoma formation on

 Instruct to resume normal activities and diet


WBC 5,900 4.5- Normal  Monitor puncture site for oozing or hematoma formation on
11x10/mm
Lymphocytes 34 25-35% Normal  Instruct to resume normal activities and diet
Monocytes 10 2-10 Normal
Eosinophils 01 0-5% Normal
Platelet 9,000 150.0-400.0 Indicates Leukemia and

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Count thrombocytopenia
RBC 5.72 3.5-5.5 Indicates Iron Deficiency

October 2, 2018
TEST RESULTS NORMAL INTERPRETATION NURSING RESPONSIBILITY
VALUES

Hemoglobin 8.6 12-16 g/dL Indicates anemia  Explain test procedure. Explain that slight discomfort may be
Hematocrit 26.0 34-47% Indicates Anemia felt when the skin is punctured
MCV 83 80-100ft Normal  Encourage to avoid d stress if possible because altered
MCH 26.4 31-37pg Indicates Anemia physiologic status influences and changes normal hematologic
MCHC 31.9 31-36 Normal values
RDW 22.3 11.0 000-16 Indicates Anemia
 Explain fasting is not necessary
.0 0 00
WBC 8,070 4.5-11x10/mm Normal  Apply manual pressure and dressings over puncture site
Segmenters 58 55-65 Normal  Monitor puncture site for oozing or hematoma formation on
Lymphocytes 32 25-35% Normal
Monocytes 10 2-10 Normal  Instruct to resume normal activities and diet
Platelet 148,000 150.0-400.0 Indicates Leukemia and
Count thrombocytopenia

September 24, 2018


TEST RESULTS NORMAL INTERPRETATION NURSING RESPONSIBILITY
VALUES
Chemistry 5.0 g/dl 3.8-5.1 g/dl Normal  Explain the procedure
Section  Reinforce that there is no discomfort in this procedure
-Albumin  Instruct the patient to void directly into a clean, dry container

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 Women should always have a clean-catch specimen

 Cover all specimens tightly, label properly and send directly to


the laboratory

September 17, 2018


TEST RESULTS NURSING RESPONSIBILITY
Urinalysis  Explain the procedure
Color Light Yellow  Reinforce that there is no discomfort in this procedure
Transparency Clear  Instruct the patient to void directly into a clean, dry container
Specific Gravity 1.005  Women should always have a clean-catch specimen
pH 6.5
Cover all specimens tightly, label properly and send directly to the laboratory
Glucose Negative
Protein Negative
Pus Cell 2-5
Red Blood Cell 5-10
Epithelial Few
Bacteria Few

September 22, 2018


TEST RESULTS NORMAL INTERPRETATION NURSING RESPONSIBILITY
VALUES
Hemoglobin 9.3 12-16 g/dL Indicates Anemia  Monitor puncture site for oozing or hematoma formation on
Hematocrit 27.1 34-47% Indicates Anemia Instruct to resume normal activities and diet
WBC 12,100 4.5- Indicates Infection  Explain test procedure. Explain that slight discomfort may be felt
11x10/mm when the skin is punctured
Segmenters 47 55-65 Indicates Neutropenia  Encourage to avoid d stress if possible because altered
Lymphocytes 48 25-35% Indicates Increase Infection physiologic status influences and changes normal hematologic
Monocytes 05 2-10 Normal

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Eosinophils 100 0-5% Indicates Allergic Reaction values
Platelet 48,000 150.0-400.0 Indicates Leukemia and  Explain fasting is not necessary
Count thrombocytopenia  Apply manual pressure and dressings over puncture site
 Monitor puncture site for oozing or hematoma formation on

September 22, 2018


TEST RESULTS NORMAL INTERPRETATION NURSING RESPONSIBILITY
VALUES
Hemoglobin 9.0 12-16 g/dL Indicates Anemia  Monitor puncture site for oozing or hematoma formation on
Hematocrit 27.5 34-47% Indicates Anemia
 Instruct to resume normal activities and diet
WBC 20,300 4.5- Indicates Incease Infection  Explain test procedure. Explain that slight discomfort may be felt
11x10/mm when the skin is punctured
Segmenters 59 55-65 Normal  Encourage to avoid d stress if possible because altered
Lymphocytes 30 25-35% Normal physiologic status influences and changes normal hematologic
Monocytes 10 2-10 Normal values
Eosinophils 01 0-5% Normal
 Explain fasting is not necessary
Platelet 136,000 150.0-400.0 Indicates Leukemia and
Count thrombocytopenia Apply manual pressure and dressings over puncture site

October 01, 2018


TEST RESULTS NORMAL INTERPRETATION NURSING RESPONSIBILITY
VALUES
Chemistry Result 0.6 0.4-1.4 mg/dl Normal  Explain the procedure
Form  Inform that there is a little discomfort during the procedure
-Creatinine

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Potassium 3.66 3,5-4.9 mmol/L Normal  Apply light pressure on the site after the blood is being
withdrawn

Sodium 139.4 138-146 mmol/L Normal  Monitor patients condition

 Provide comfort measure

September 17, 2018


TEST RESULTS NORMAL INTERPRETATION NURSING RESPONSIBILITY
VALUES
Hemoglobin 13.0 12-16 g/dL Normal  Explain test procedure. Explain that slight discomfort may be
Hematocrit 38.2 34-47% Normal felt when the skin is punctured
WBC 4,080 4.5- Normal  Encourage to avoid d stress if possible because altered
11x10/mm physiologic status influences and changes normal hematologic
Lymphocytes 27 25-35% Normal values
Monocytes 03 2-10 Normal
Eosinophils 01 0-5% Normal  Explain fasting is not necessary
Platelet 95,000 150.0-400.0 Indicates Leukemia and
Count thrombocytopenia
RBC 4.99 3.5-5.5 Normal  Provide comfort measure

September 2, 2018
TEST RESULTS NORMAL INTERPRETATION NURSING RESPONSIBILITY
VALUES
Hemoglobin 14.6 12-16 g/dL Normal
Hematocrit 44.1 34-47% Normal  Explain the procedure. Explain that there is slight discomfort
may be felt when skin is punched

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 Encourage to avoid stress if possible because altered
physiologic status influences and changes normal hematologic
values
 Explain fasting is not necessary
 Apply manual pressure on the dressing over punctured site
WBC 6,800 4.5-11x10/mm Normal  Monitor ounctured site for oozing or hematoma formation
Lymphocyte 34 25-35% Normal  Instruct to resume normal activity and diet
Segmenters 64 55-65 Normal
Monocytes 02 2-10 Normal
Platelet 12,000 150.0-400.0 Indicates Leukemia and
Count thrombocytopenia

October 03, 2018


TEST RESULTS NORMAL INTERPRETATION NURSING RESPONSIBILITY
VALUES
Hemoglobin 8.2 12-16 g/dL Indicates anemia  Explain the procedure. Explain that there is slight discomfort
Hematocrit 26.0 34-47% Indicates anemia may be felt when skin is punched
WBC 9,400 4.5- Normal  Encourage to avoid stress if possible because altered
11x10/mm physiologic status influences and changes normal hematologic
Lymphocytes 35 25-35% Normal values
Monocytes 7 2-10 Normal  Explain fasting is not necessary
Platelet 132,000 150.0-400.0 Indicates Leukemia and
 Apply manual pressure on the dressing over punctured site
Count thrombocytopenia
 Monitor ounctured site for oozing or hematoma formation
 Instruct to resume normal activity and diet

September 28, 2018


RESULTS NORMAL INTERPRETATION NURSING

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VALUES RESPONSIBILITY
SGPT(ALT) 136 40,000IU Indicates viral hepatitis, diabetes, congestive heart failure, liver Drink a lot of water.
damage, bile duct problems

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