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  • Determination Actual Value Normal Value Interpretation Nursing Responsibilities

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    The urinalysis and hematology laboratory tests and chest x-ray results for a patient are summarized. The urinalysis showed dark yellow urine, hazy transparency, and alkaline pH, indicating possible infection. The hematology tests found increased white blood cell and differential counts, suggesting infection. The chest x-ray revealed bilateral pulmonary tuberculosis with left upper lobe atelectasis and cavity formation. The nurse's responsibilities include maintaining infection control, positioning the patient, managing the environment, teaching breathing exercises, monitoring intake and output, and educating about the condition.

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    The urinalysis and hematology laboratory tests and chest x-ray results for a patient are summarized. The urinalysis showed dark yellow urine, hazy transparency, and alkaline pH, indicating possible infection. The hematology tests found increased white blood cell and differential counts, suggesting infection. The chest x-ray revealed bilateral pulmonary tuberculosis with left upper lobe atelectasis and cavity formation. The nurse's responsibilities include maintaining infection control, positioning the patient, managing the environment, teaching breathing exercises, monitoring intake and output, and educating about the condition.

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    22 views3 pages

    Determination Actual Value Normal Value Interpretation Nursing Responsibilities

    Uploaded by

    Hzlyn Gau
    The urinalysis and hematology laboratory tests and chest x-ray results for a patient are summarized. The urinalysis showed dark yellow urine, hazy transparency, and alkaline pH, indicating possible infection. The hematology tests found increased white blood cell and differential counts, suggesting infection. The chest x-ray revealed bilateral pulmonary tuberculosis with left upper lobe atelectasis and cavity formation. The nurse's responsibilities include maintaining infection control, positioning the patient, managing the environment, teaching breathing exercises, monitoring intake and output, and educating about the condition.

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    LABORATORY STUDY a.

    Urinalysis (February 04, 2013) Determination Actual Value Normal Value Interpretation Nursing Responsibilities

    Color

    Dark Yellow

    Clear, Straw or Concentrated urine. May indicate dehydration. Yellow colored Clear

    Instruct the patient to void directly into a clean, dry container.

    Transparency

    Hazy

    Specific Gravity

    1.005

    1.005 - 1.035

    Reaction (pH)

    3.0 (Alkaline)

    4.5 - 8.0 (Acidic)

    Not normal. It indicates infection, sediment or high level of urinary protein. Instruct patient to increase oral fluid intake. Normal. The measure of the concentration of particle in the urine is normal. Monitor intake and output of the patient. Decrease. Indicates Respiratory diseases that involve hyperventilation (blowing off carbon Instruct patient regarding dioxide and the development of alkalosis) proper diet. Normal. There is no presence of sugar in the urine. Not normal. Indicates sign of infection. Not normal. May indicates uric acid crystals in the urine. Encourage ROM exercise. Encourage to maintain proper hygienic practices. Observe standard precautions when handling urine specimens.

    Sugar

    Negative

    Negative

    Mucous Threads Amorphous Urate

    Moderate Few

    Negative Negative

    Pus Cells

    0.1/ hpf

    Less than 5/hpf Normal. There is no presence of pus cells in the urine. Less than 5/hpf Normal There is no presence of RBC in the urine. None seen Not normal. Indicates presence of infection.

    RBC

    0.2/ hpf

    Bacteria

    Few

    LABORATORY STUDY b. Hematology (February 04, 2013) Determination Actual Value Normal Value Interpretation Nursing Responsibilities

    Hemoglobin

    12.3 g/dL

    13-18 g/dL

    Normal. May consider polycyhemia, there is a chance that the red blood cells will clump together and block tiny blood vessels (capillaries). Increase. Indicates infection.

    Explain test procedure. Explain that slight discomfort may be felt when the skin is punctured. Monitor intake and output.

    WBC

    10.9 x 10 g/L

    4.5-10.9 x 10 g/L 42-52%

    Hematocrit

    36%

    Monitor Vital signs. Decrease. A low hematocrit count may be caused by some vitamin deficiency and mineral Advise to increase oral fluid deficiency. intake. Normal. Indicates no signs of blood clotting. Provide health teaching on proper hygienic care to prevent further infection. Encourage to eat nutritious food.

    Platelet

    185x 10 g/L

    150-400 x 10 g/L

    Differential Counts: Segmenters Lymphocyte Eosinophil 0.75% 18% 7% 0.55-0.65% 20-40% 1-4% Increase. Indicates presence of infection. Decrease. Indicates infection. Increase. Indicates allergy and infection.

    RADIOLOGIC STUDY

    a. Chest Posterior- Anterior Xray ( February 4, 2013)

    IMPRESSION: Bilateral Pulmonary Tuberculosis with left upper lobe, atelectasis and cavity formation.

    NURSING RESPONSIBILITIES 1. Maintain infection control through the use of mask and performance of hand washing before and after contact with client. 2. Place client in high fowlers position and encourage reposition every two hours. 3. Maintain room or environment free from any sorts of allergen. 4. Teach and encourage deep breathing and coughing exercises. 5. Emphasize to increase fluid intake depending on individual tolerability or as indicated. 6. Instruct to take warm liquids instead of cold ones. 7. Provide postural drainage and percussion. 8. Monitor breathing patterns and breath sounds. 9. Educate client and family about disease condition and the need for compliance with the therapeutic regimen.

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