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DIAGNOSTIC AND LABORATORY PROCEDURES

PROCEDURES INDICATIONS RESULTS NORMAL VALUES IMPLICATIONS NURSING


REPONSIBILITIES
Complete Blood Count A screening test 1. Explain
 WBC used to diagnose 5.67 5.5-17.5 Normal range procedure, a
 RBC and manage 5.23 3.4-5.2 High RBC: indicate slight
 HGB numerous 139 96-156 risk of polycythemia discomfort
 HCT disease. It can 0.40 0.34-0.48 Normal range may be felt
 ROW-CV reflect problems 12.9 11.5-14.5 Normal range when
 ROW-SO with fluid volume 35.7 39-46 Normal range punctured
 HCH or loss of blood. 26.6 28-31 Low RDW-SD: 2. Instructed
 MCHC It can show 344 320-360 indicates uniformity client that
 MCV abnormalities in 77.2 76-92 in the size of RBCs fasting is not
the production, 296 150-450 Normal range necessary
 Platelet
life span, and Normal range 3. Encourage
destruction of Normal range patient to
blood cells. Normal range avoid stress,
because
Measures the altered
Differential count
number of WBC 38.5 Normal range physiologic
 Neutrophil
in the blood, and 45.3 Normal range status and
 Lymphocyte
WBC differential 7.9 Normal range changes
 Monocyte
can also detect 8.1 Increased normal
 Eosinophil immature WBCs 0.2 eosinophils results hematologic
 basophil and from infections values.
abnormalities Normal range 4. Instruct to
resume
normal
activities and
diet
PROCEDURES INDICATIONS RESULTS NORMAL VALUES IMPLICATIONS NURSING
REPONSIBILITIES
Clinical chemistry Measure the
 Sodium presence of 141.3 135-145 Normal range
 Potassium physiologically 5.10 3.5-5.20 Normal range
 Chloride significant 107.9 98-107 Increased chloride
 Ionized calcium substances in the 1.12 1.13-1.32 indicates DHN
 Creatinine blood, body fluids 0.68 0.9-1.3 Low ionized calcium
with application to may indicate
the diagnosis hypoprathyroidism
Normal range
Urinalysis Used to detect and
 Color manage a wide YELLOW YELLOW Normal range Explain procedure to
 Transparency range of disorder CLEAR CLEAR Normal range the client
 Specific gravity 1.020 1.005-1.025 Normal range Instruct client to use
 pH 6.0 4.5-8 Normal range cotton ball to clean
Negative Negative Normal range urethral area
 glucose
Negative Negative Normal range thoroughly to
 protein
0-1/hpf Less than 0-1/hpf prevent external
 RBC
0-1/hpf Less than 0-1/hpf bacteria from
 WBC
entering the
specimen
Instruct client about
midstream catch.