Question

Patient Care Begins:

Current VS:	P-Q-R-S-T Pain Assessment (5th VS):
T:  (oral) 97.4 ℉	P	Denies pain
P:  112 (lying down), 120 (sitting), 132 (standing) regular rhythm	Q
R:  (regular)  28	R
BP:  106/72 (Lying down), 92/66 (sitting), 84/60 (standing up)	S
O2 sat: 91%	T

RELEVANT VS Data:	Clinical Significance:

Current Assessment:
GENERAL APPEARANCE:	Ht 4’11”, Wt 100
RESP:	Breath sounds clear and diminished in bases, short of breath.
CARDIAC:	Tachycardia, regular rhythm, no edema
NEURO:	Muscle tone generally weak
GI:	Mucous membranes pale, tongue smooth/shiny, abdomen soft, non-tender, spleen palpable.
GU:	Patient has not voided yet
SKIN:	Pale, intact w/o erythema or ecchymosis

RELEVANT Assessment Data:	Clinical Significance:

Lab/diagnostic Results:

Labs	Current:	High/Low/WNL?
Hgb 12-15.5 (for women)	6.0 g/dL
Hct  37-48% (for women)	18.1%

What lab results are RELEVANT and must be interpreted as clinically significant by the nurse?

RELEVANT Lab(s):	Clinical Significance:

Answer 1

Hb 6g/dl indicate low hemoglobin level. It suggests patient has anemia. Blood transfusion is needed.

Hct 18.1% indicate red blood cells destruction and also indicate hypervolemia.