DIAGNOSTIC CLIENT NORMAL LIMITS INTERPRETATION SIGNIFICANCE NURSING RESPONSIBILITIES

TEST/LAB VALUE/RESULT RESULTS

Pretest:
CBC & PLATELET
COUNT -expain test and procedure

- Explain slight discopmfort may br felt

when skin is punctured.

-avoid stress if possible because

5-10 x 10 12/L increase Increase WBC commonly altered physiologic status influences
WBC 12.65 signals infection such as and changes normal hemogram values.
l abcess,
meningitis,appendicitis, or -select a hemogram components
tonsillitis, or may result ordered at regular intervals (e.g, daily,
from leukemia and tissue every other day). These should be
necrosis caused by burns, drawn consistently at the same time of
LYMPHOCYTES 0.07 0.25- 0.35 decrease myocardial infarction, or day reason for accurate comparison;
gangrene. natural body ryhtms cause fluctuation
in the laboratory values at certain times
of the day,

Decrease counts occur in -dehydration or overdehydration can

conditions such as
acquired
immonudeficiency
syndrome, aplastic
anemia, and bone marrow
suppression
dramatically alter values; for example,
large volumes of IV fluids can “dilute”
the blood and values will appear as
lower counts. The presence of either of
these states should be communicated
to the laboratory.

-fasting is not necessary. However, fat-

laden meals may alter some test
results as a results of lipidemia.

-A patient with severe leukopenia may

have little or no resistance to infection
 and requires protective isolation.

Potassium 3.01 3.5 -5.3 mmol/L decrease Hypokalemia may occur in -Make sure subdermal bleeding has
aldosteronism or crushing stopped before removing pressure.
syndromes, loss of body
fluids (such as long term During :
diuretic therapy,
vomiting,or diarrhea) -obtain a venous anti coagulant EDTA
blood sample of 5mL or a finger-stick
sample.

Sodium 133.7 135 – 148 mmol/L normal -place a specimen in a biohazard bag.

-record the time when specimen was

obtained (e.g, 7:00am)

-Bloodis processed wither manually or

automatically, using an electronic
counting instruments such as the
Coulter counter or Abbortt Cell-Dyne.

Post test:

-apply manual pressure and dressing to

the puncture siteon the removal of the
needle.

-monitor the puncture site for oozing or

hematoma formation. Maintain
pressure dressing on the site if
necessary. Notify the physician of
unusual problem with bleeding,

-resume normal activities and diet.

-bruising at the puncture site is not

common. Sign of inflammation are
unusual and should be reported if the
inflamed area appears larger, if red
streaks develop, or if drainage occurs