LABORATORY / DIAGNOSTIC RESULTS

LABORATORY DATE NORMAL RESULT SIGNIFICANCE NURSING

EXAM TAKEN VALUES RESPONSIBILITY

CBC October
10,
2020

White Blood 14 increased WBC denotes Before:

Cells long term inflammation
caused by injuries. (The - Check the doctors’
inflammatory response order.
is also unique to - Perform hand
fracture healing. Since washing.
bone fracture is an
injury, it incites an - Explain to the
inflammatory patient together with
response) the parent/s the
indication and
Neutrophils (47.0- 85 -the neutrophils rise due purpose of the
80.0) % to the nature of the procedure.
cause of the
leukocytosis - Explain the test
(inflammation caused by procedure into the
injuries) patient in the level of
appropriate age.
Lymphocytes (13.0- 18
40.0) % -Explain that slight
discomfort may be felt
Eosinophils (0.00- 4 when the skin is
5.00) % punctured.

- Prepare the
Basophils (0.00- 1
appropriate
2.00) %
equipment needed.

Hemoglobin (12.0- 15
16.0) g/dL
During:
 Hematocrit (36.0- 35 low hematocrit(also • Ensure the patient is
46.0) % known as anemia) is in a safe and
precipitated by loss of appropriate position.
blood (caused by
traumatic injury) • Ensure that the
patients’ family is
Red Blood Cell (4.50- 4.4 Low RBC count is beside her to lower
5.90) related to anemia down anxiety and/or
10^12/L fear.
MCV (Mean (80.0- 90
Corpuscular 100.0) fL
Volume)
After:

MCH (Mean (26.0- 31 • Provide comfort

Corpuscular 34.0) pg measures after the
Hemoglobin) collection.

• Ensure pressure
has been provided in
MCHC (Mean (31.0- 36
the punctured area.
Corpuscular 36.0)
Hemoglobin g/dL • Record information
Concentration) correctly in patient’s
records and in the
nursing care plan.
Platelet Count (140.0- 260
440.0)
X10^9/L

Mean Platelet (6.9-11.0) 9

Volume fL

LABORATOR RESULT SIGNIFICANCE NURSING RESPONSIBILITIES

Y/DIAGNOSTI
C TEST
Chest X-ray indicates normal
size and shape BEFORE
of chest wall and
normal structure
● Remove all metallic
of the chest. objects. Items such as
jewelry, pins, buttons etc
can hinder the visualization
no pulmonary or of the chest.
cardiac ● Prepare as needed.
negative for pulmonary pathology is Fasting or medication
or cardiac pathology evident restriction is not needed
unless directed by the
health care provider.

● Assess the patient’s

ability to hold their
breath. Holding one’s
breath after inhaling
enables the lungs and heart
to be seen more clearly in
● Provide appropriate the x-
ray. clothing. Patients are
instructed to remove
clothing from the waist up
and put on an X-ray gown
to wear during the
procedure.
● Instruct patient to
cooperate during the
procedure. The patient is
asked to remain still
because any movement will
affect the clarity of the
image.

DURING

● Instruct client to Hold their

breath
● Instruct Client to stay still.
● Assist client in finding a
comfortable position that
ensures good diagnostic image
 quality

AFTER

● Provide comfort for the client

● complete documentation

LABORATORY DATE NORMAL RESULT SIGNIFICANCE NURSING

EXAM TAKEN VALUES RESPONSIBILITY

BLOOD

CHEMISTRY

TEST

Na 135 - 145 138 Within normal Before

mEq/L range
● Explain the
procedure
to the client.
K 3.5 - 5 3.8 Within normal ● Prepare the
mEq/L range appropriate
equipment.
BUN 10 -20 12 Within normal During
mg/dL range
● Ensure the
patient is in
a safe and
comfortable
Creatinine .7 - 1.4 mg/dL 1 Within normal position.
range ●
● Assist the
patient with
the testing.
Ensure that
the patient
is in safe
position

After

● Provide
comfort
measures
after the
collection.

● Record
information
correctly in
patient’s
records
sheet.

DIAGNOSTI DATE RESULT SIGNIFICANCE NURSING

C EXAM TAKE RESPONSIBILITY
N
 Before
● Indicates ● Check the
Physician’s
break of
order.
the bones  ● Prepare the
X-RAY of in the appropriate
left forearm forearm. equipment.
● Explain to the
patient the
● Fractures indication
in both and purpose
of the
bones of procedure.
the During
forearm. ● Instruct the
▪ Shows radial and client to
remove
ulnar shaft fractures; clothes and
displaced fracture in jewelries or
any metal
the radius and a objects that
nondisplaced fracture might
interfere with
of the ulna. the X-ray
image.
● Assist client
to wear
gown.
● Have the
client seated
to the area.
● Ensure the
patient is in a
safe and
comfortable
position.
● Instruct the
patient to
positioned his
forearm to
the x-ray
table
carefully to
the x-ray
machine.
● Encourage
client to
cooperate.

After
● Have the
 client to wait
for the
results.
● Record
information
correctly in
patient’s
records
sheet..

DIAGNOSTIC DATE TAKEN RESULT SIGNIFICANCE NURSING

EXAM RESPONSIBILITY

Before
● Explain to
EKG RESULT Normal sinus Heart rate is within the patient
rhythm a normal range. the
indication
and purpose
of the
Electrical impulse procedure.
● Prepare the
of the sinus node appropriate
is properly equipment
transmitted. needed.

During
● Have the
client lie
supine in the
center of the
bed with the
arms on the
side.
● Expose the
client’s
chest.
● Connect the
lead wires to
the
electrodes
 ● Instruct the
client to
relax and
breathe
normally.
● When the
machine
finishes the
recording,
remove the
electrodes.

After
● Assist
client to a
comfortable
position.
● Record
results
correctly in
patient’s
records
sheet.

LABORATORY DATE TAKEN RESULT SIGNIFICANCE NURSING

EXAM RESPONSIBILITY

BLOOD Before
TYPING ● Checked
doctor’s order.

ABO TYPING ● Reviewed

O+ Indicates D patient history.
antigen.
● Performed hand
washing.

● Explained to the
patient the
 indication and
purpose of the
procedure.

● Explained that
slight discomfort
may be felt
ANTIBODY Anti-A and Anti-B when the skin is
SCREENING present punctured.

● Prepared the
Indicates both
appropriate
anti-A and anti-B
equipments
antibodies.
needed.

Indicates
Crossmatching Can Received presence of A And During
& Compatibility from: B antibodies. It is ● Ensured patient
Test O+ , O- called as most is in a
common blood comfortable
type. position and
safe during
Can donate to:
procedure.
O+ , A+ , B+ ,
● Ensured
AB+
pressure has
been provided in
the punctured
area.

● Instructed
patient to stay
still and avoid
immediate
ambulation.

● Performed after
care done.

After
 ● Ensured that
blood samples
are sent to
laboratory.

● Follow-up for
results done.

● Documented
and recorded
procedure to the
recording sheet.

References:

https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/xrays-of-the-extremities
https://radiopaedia.org/articles/forearm-ap-view-2
https://kidshealth.org/en/parents/xray-forearm.html#:~:text=A%20forearm%20X%2Dray%20is,or%20special
%20X%2Dray%20film.
https://www.orthobullets.com/trauma/1025/radius-and-ulnar-shaft-fractures#:~:text=Radial%20and%20ulnar
%20shaft%20fractures,exam%20and%20plain%20radiographs%20alone.
https://www.medicalnewstoday.com/articles/218285#abo-and-common-types