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DX TEST
DX TEST
IMPLICATION
NURSING
DATE TEST RESULT NORMAL VALUES INTERPRETATION SIGNIFICANCE
CONSIDERARION
Nov. 15, 2010 @ Gram Stain Epithelial cells: 2+ No parasites or flora With presence of Suggest presence of Pretest:
10:25 am WBC: 4+ are seen bacteria bacterial infection - Explain to the patient
Specimen: Sputum Gram (-) Bacilli: 1+ what this test is all about
Gram (+) Cocci: 1+ - Explain to the patient
that sputum are collected
Organism Isolated: in this test
moderate growth of Intratest:
candida albicans - After collecting the
specimen, send it
immediately to the
laboratory and label
container with name and
room number of the
patient.
Patient care:
- Provide mouth care
after the procedure
11-14-10 AFB - Acid Fast 1+ Absence of acid Abnormal/Increased Presence of acid fast bacteria that cause Pretest:
Stain fast bacteria on tuberculosis - Explain to the patient
11-21-10 0 the stained Normal Normal what this test is all about
Specimen: Sputum specimen - Explain to the patient
that sputum are collected
in this test
Intratest:
- After collecting the
specimen, send it
immediately to the
laboratory and label
container with name and
room number of the
patient.
Patient care:
- Provide mouth care
after the procedure
DIAGNOSTIC TEST DATE RESULT NORMAL INTERPRETATION SIGNIFICANCE NURSING
VALUES CONSIDERARTION
HGT- Hemoglucotest 11-13-10 @ 6:50 132 70-110mg Increased • Hyperglycemia Pretest:
pm • Stress - Explain to the patient
• Steroid use what this test is all about
• Pancreatic or - Tell patient that this
Hepatic disease test requires a blood
sample. Explain who
• Excessive amt. of
will perform the
IV fluids
venipuncture and when
containing glucose
- Explain to the patient
that she may experience
slight discomfort from
the needle puncture and
the tourniquet
- Inform the patient that
she need not to restrict
food or fluids
Posttest:
- Apply direct pressure
to the venipuncture site
until bleeding stops
- Instruct patient to
resume any medications
stopped before the test
PROTIME- November 13, 2010 PT: 21.2 sec PT: 10-14 sec Abnormal Prolonged PT may Pretest:
Prothrombine Time @ 8:38 am Control: 13.6 sec indicate deficiencies -Explain to the patient
Activity: 64% in fibrinogen, vit. K that this test
INR: 2.26 deficiencies determines wheteher
the blood clots
normally
-Inform patient that
she need not to restrict
food and fluids
-Tell the patient that
this test requires a
blood sample. Explain
who will perform the
venipuncture and
when.
-Explain to the patient
that she may feel slight
discomfort from the
tourniquet and needle
puncture
Posttest:
- Make sure subdermal
bleeding has stopped
before removing the
pressure
- Instruct patient that
she may resume her
usual diet and
medications stopped
before the test
DIAGNOSTIC TEST RESULT NORMAL VALUE INTERPRETATION SIGNIFICANCE NURSING CONSIDERATIONS
November 13, 2010 @ 6:50 pm
ALBUMIN, BUN, CREATININE, SGOT, SGPT
Albumin 17.37 35-54 g/L Decreased Indicate cirrhosis, acute Pretest:
liver failure - Explain to the patient that this test assesses
BUN- Blood Urea 3.44 2.5-7.2 mmol/L Normal Normal heart and liver function
Nitrogen - Tell the patient that she need not to restrict
Creatinine 71.5 53-106 umol/L Normal Normal food and fluids
- Explain to the patient that she may feel
SGOT – Aspartate 112.0 8-40 u/L Increased Indicates acute viral experience slight discomfort from the tourniquet
amino transferase hepatitis, severe passive and needle puncture
liver congestion Posttest:
SGPT- alanine amino 17.0 5-35 u/L Normal Normal -Apply direct pressure from the venipuncture
transferase site until bleeding stops
- Instruct the patient that she may resume
medications stopped before the test
URINALYSIS
Nov. 13, 2010 @ 07:45 pm
RESULT NORMAL VALUE INTERPRETATION
Color: straw to dark yellow -Normal in color, specific gravity, Ph
• COLOR: YELLOW Odor: slightly aromatic -Increase WBC implies urinary tract inflammation and
• TRANSPARENCY: CLOUDY Appearance: Clear WBC cast in urine suggest renal infection
• CRYSTALS: (negative) Specific Gravity: 1.005 to 1.035
• SPECIFIC GRAVITY: 1.020 Ph: 4.5 to 8
RBC: 0-2
• pH: 5.0
WBC: 0-5
• PROTIEN: (-)
Casts: 0
• SUGAR: (-) Crystals: present
• WBC: 7-9
• RBC: 8-11
• BACTERIA: +2
• MUCUS: +2
• CASTS: Coarsely granular
NURSING CONSIDERATIONS
Pretest:
- Explain to the patient that this test helps to diagnose renal or urinary tract disease and to evaluate overall body function
-Inform the patient that she need not to restrict food or fluids
-Notify the laboratory and physician of drugs the patient is taking that may alter the result
Intratest:
-Instruct patient to wash genitals before and after voiding
Collect the random urine specimen of at least 15ml obtain a first voided morning specimen if possible
Posttest:
-Send the specimen immediately to the laboratory after collecting with label (patient’s name & room #)
-Inform patient that she may resume medications stopped before the test
November 14, 2010 @ 01:30 pm
ABG- ARTERIAL BLOOD GAS
O2 Saturation 71 95-100% Decreased Low PO2, O2 and high PCO2 level may result
from conditions that impair respiratory function.
pH 7.29 7.35-7.45 Normal
NURSING CONSIDERATIONS
Pretest:
- Explain that ABG evaluates how well the lungs are delivering oxygen to the blood and eliminating carbon dioxide
- Tell patient that this test requires blood samle. Explain who will perform the procedure and when and where the venipuncture site will be: radial, brachial or femoral
- Inform the patient that she need not to restrict food and fluids
- Instruct the patient to breath normally during the test and warm him that he may experience cramping or throbbing pain at the puncture site
Patient Care:
-After applying pressure at the venipuncture site for 3-5 minutes or until bleeding stop
- Monitor vital signs and observe for signs of circulatory impairment such as swelling, discoloration, pain, numbness, and tingling in the site.
STOOL ANALYSIS with OCCULT BLOOD
November 22, 2010 @ 8:40 pm
RESULT NORMAL VALUE INTERPRETATION SIGNIFICANCE
Color: Brown No parasite or ova are present in stool Normal Normal
Character: Loose
Occult Blood: (-)
Pus cells: (-)
Mucus: (-)
RBC:0
Amoebas: (-)
Flagellates: (-)
Elisa for E. histolytice: N/A
NURSING CONSIDERATIONS
Preparation:
- Explain to the patient that this test detects abnormal GI bleeding
- Instruct the patient to maintain high fiber diet 48-72 hrs before the test
- Instruct the patient to avoid contaminating the fecal specimen with toilet tissue or urine
- Instruct patient to get the middle portion of the stool and put it on the container
- Instruct patien to wash hands before and after getting the stool
Implementation:
- Send immediately the stool in the laboratory and put label (patient’s name and room #)
- After testing is complete, inform the patient that she may result her usual diet and medications stopped before the test