RLE 1: Significance of Laboratory Results Worksheet

Worksheet task:

1. The RLE 1M worksheet is an individual activity but we will be utilizing the RLE,
Skills Lab groupings for the assignment of cases.

Group Number Case Number

1 8
2 7
3 6
4 5
5 4
6 3
7 2
8 1

2. Read and analyze the case assigned to you and its corresponding laboratory test result.
For each case, do the following tasks:
a. Write ten (10) nursing responsibilities before, during, and after the specimen
needed is taken.
b. Make use of the table below and interpret the laboratory test result presented and
explain its clinical significance.

CASE #____

LABORATORY TEST

Normal
Test Patient’s Result Clinical Significance
Range/Findings

c. Formulate two (2) unique nursing diagnoses and write a health teaching plan
based on the client’s case and laboratory test result.

3. Indicate the RESOURCES/REFERENCES that you have used in an APA format.

4. Submit a hardcopy (short bondpaper size) in-class after the RLE 1 quiz.
 RLE 1: Significance of Laboratory Results Worksheet

Case #1: Mast. T.M., 3 months old, male was admitted at the emergency room. Five days prior
to admission, his mother has stated that he has complaints of cough, fever, dyspnea, vomiting,
and diarrhea. He was diagnosed with community-acquired pneumonia. Attached below is the
result of his complete blood count.

COMPLETE BLOOD COUNT

Test Value Expected value Unit

Hemoglobin 12.1 14 – 24 g/dL
Hematocrit 36.2 35 – 55 %
Red Blood Cell 5.57 3.5 – 5.5 ×1012/L
MCV 79.2 75 – 100 fL
MCH 26.5 25 – 35 pg
MCHC 33.4 31 – 38 g/dL
Platelet Count 616,000 150,000 – 400,000 ×103/L
White Blood Cell 12,100 5,500 – 18,000 ×106/L
Differential Leukocyte Count
Neutrophils 22 45 – 75 %
Lymphocytes 70 20 – 45 %
Eosinophils 4 2–6 %
Monocytes 4 2 – 10 %
 RLE 1: Significance of Laboratory Results Worksheet

Case #2: DGL is a 1-year-old boy. Vital signs: T: 38.5 °C, Pulse Rate: 90 bpm, RR: 35 bpm. The
Physician ordered for a Urinalysis.

URINALYSIS

TEST RESULT UNIT

Physical/Macroscopic
Color Light yellow
Transparency Slightly cloudy
Chemical
Specific gravity 1.015
pH 6.0
Protein +2
Glucose NEGATIVE
Bilirubin NEGATIVE
Blood +3
Leukocytes +3
Nitrite POSITIVE
Urobilinogen <2 mg/dL
Ketone NEGATIVE
Microscopic
RBC 3–5 /hpf
WBC TNTC
Epithelial cells RARE
Bacteria ABUNDANT
Mucus threads RARE
 RLE 1: Significance of Laboratory Results Worksheet

Case #3: Mr. AKT is a 50-year-old male. He’s been a chronic drinker and smoker since the age
of 20. He is diagnosed with chronic kidney disease. The physician ordered to have her blood
chemistry and serum levels checked.

BLOOD CHEMISTRY AND SERUM LEVELS

Test Result Reference range Unit

Random blood sugar 114.0 70 – 140 mg/dL
Blood urea 185 17 – 48 mg/dL
Creatinine 6.37 0.4 – 1.4 mg/dL
Sodium 127 135 – 150 mmol/L
Potassium 3.5 3.5 – 5.5 mmol/L
SGPT/ALT 573 <42 IU/L
SGOT/AST 830 <37 IU/L
ALP 224 64 – 306 IU/L
Serum amylase 18 25 – 115 IU/L
Serum lipase 169 73 – 393 IU/L
Troponin-I NEGATIVE - -
 RLE 1: Significance of Laboratory Results Worksheet

Case #4: Mr. VMG is 40-year-old male. Two days prior to admission, he felt severe sudden pain
on the right upper abdomen accompanied fever, nausea and vomiting. He is diagnosed with
cholelithiasis. Here is the result of his stool exam.

STOOL EXAM

Test Result Unit

PHYSICAL EXAMINATION
Color WHITISH
Consistency LOOSE
Blood ABSENT
Mucus PRESENT
CHEMICAL TEST
Occult Blood PRESENT
MACROSCOPIC EXAMINATION
Ova ABSENT
Cyst ABSENT
Pus cells 10 – 15 /hpf
RBC 6–8 /hpf
Epithelial cells 1–2 /hpf
Vegetable cells ABSENT
Bacteria PRESENT
 RLE 1: Significance of Laboratory Results Worksheet

Case #5: Mr. HHT is a 55-year-old male. He’s been coughing for 2 weeks with a productive
sputum. He also lost his appetite and lost a lot of weight. He’s a chronic smoker and consumes
20 sticks of cigarettes in a day. He is diagnosed to have a Pulmonary Tuberculosis.

SPUTUM EXAM

Characteristics Result
Color Rusty red
Consistency Mucoid
Odor Foul smelling
 RLE 1: Significance of Laboratory Results Worksheet

Case #6: Mrs. BS is a 30-year-old female. Based on her BMI she is in Obese class 2. Recently,
she’s been experiencing chest tightness and difficulty in breathing even in just a short walk. The
physician ordered to have her blood chemistry and serum levels checked.

BLOOD CHEMISTRY AND SERUM LEVELS

Test Result Reference range Unit

Potassium 4.4 3.5 – 5.5 mmol/L
Triglycerides 165 0 – 149 mg/dL
Sodium 141 135 – 148 mmol/L
Glucose 66 65 – 99 mg/dL
Blood urea nitrogen 8 5 – 26 mg/dL
Bicarbonate 22 20 – 32 mmol/L
Chloride 100 94 – 109 mmol/L
Cholesterol LDL 218 100 – 199 mg/dL
Albumin 5.1 3.6 – 5.2 g/dL
Globulin 2.4 1.5 – 4.5 g/dL
 RLE 1: Significance of Laboratory Results Worksheet

Case #7: LPT is a 2-year-old toddler. Her mother rushed her in the hospital due to passing of
greenish liquid stool since yesterday and consumed more than 10 diapers. She has less appetite
too during breastfeeding. Her mother informed the physician that she just introduced a new
vegetable to her this week. The physician ordered a stool exam with occult blood test.

STOOL ROUTINE EXAMINATION

Test Result Unit

PHYSICAL EXAMINATION
Color GREENISH
Consistency LIQUID
pH 6.0
Blood ABSENT
Mucus PRESENT
CHEMICAL EXAMINATION
Occult Blood POSITIVE
Reducing Sugar TRACE
MICROSCOPIC EXAMINATION
Vegetable cell PRESENT (++)
Ova NOT FOUND
Cyst NOT FOUND
Bacteria PRESENT (++)
RBC 2–4 /hpf
Pus cell 4–6 /hpf
Fat droplets PRESENT (+)
Others NIL
 RLE 1: Significance of Laboratory Results Worksheet

Case #8: Ms. MAE is a 13-year-old Grade 7 female student. She loves to eat junk foods and
doesn’t drink water too often. Two days prior to check up, she experienced pain upon urination
and a Temperature of 39C. The physician ordered to have her urine checked.

URINALYSIS

Test Result Unit

PHYSICAL EXAMINATION
Color YELLOW
Clarity CLOUDY
CHEMICAL ANALYSIS
pH 6.0
Specific gravity 1.025
Protein NEGATIVE
Glucose NEGATIVE
Blood NEGATIVE
Leukocyte 1+
Nitrite NEGATIVE
Ketones NEGATIVE
Bilirubin NEGATIVE
Urobilinogen NORMAL
MICROSCOPIC EXAMINATION
RBC 0–2 /hpf
WBC 10 – 15 /hpf
Epithelial cells MODERATE
Mucus MODERATE
Amorphous FEW
Bacteria MODERATE
Urine crystals NONE
Urine cast NONE