Nursing · NCLEX-RN

Nursing Lab Values: Hematology and Coagulation

CBC and coagulation panel values with the nursing action triggered by an abnormal result, narrower than the general lab values deck.

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What is the normal hemoglobin range for an adult male?
14 to 18 g/dL
What is the normal hemoglobin range for an adult female?
12 to 16 g/dL
What is the normal hematocrit range for an adult male?
42% to 52%
What is the normal hematocrit range for an adult female?
37% to 47%
What is the general normal range for an adult red blood cell (RBC) count?
About 4.5 to 5.5 million cells/mm3
What is the normal white blood cell (WBC) count range for an adult?
5,000 to 10,000/mm3
What is the normal platelet count range for an adult?
150,000 to 400,000/mm3
What is the normal range for mean corpuscular volume (MCV)?
80 to 100 fL
A platelet count below ____ places a patient at risk for spontaneous bleeding.
20,000/mm3
What nursing action is priority when a patient's platelet count drops below 50,000/mm3?
Implement bleeding precautions
At what hemoglobin level does the nurse anticipate a possible blood transfusion order?
Below 7 g/dL
Why does the nurse implement fall precautions for a patient with a low hemoglobin or hematocrit?
Low oxygen-carrying capacity causes fatigue and dizziness
What nursing action is indicated for a patient with leukocytosis (elevated WBC)?
Assess the patient for signs and symptoms of infection
What nursing action is indicated for a patient with leukopenia (low WBC)?
Initiate neutropenic precautions
An absolute neutrophil count (ANC) below what value indicates severe neutropenia?
500/mm3

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