Questions: A nurse is reviewing the laboratory report of a client who has endstage kidney disease and received hemodialysis 24 hr ago. Which of the following laboratory values should the nurse report to the provider? Platelets 268,000 / mm^3 (150,000 to 400,000 / mm^3) Calcium 9.2 mg / dL (9 to 10.5 mg / dL) WBC count 5,200 / mm^3 (5,000 to 10,000 / mm^3) Sodium 148 mEq / L (136 to 145 mEq / L)

A nurse is reviewing the laboratory report of a client who has endstage kidney disease and received hemodialysis 24 hr ago. Which of the following laboratory values should the nurse report to the provider?
Platelets 268,000 / mm^3 (150,000 to 400,000 / mm^3)
Calcium 9.2 mg / dL (9 to 10.5 mg / dL)
WBC count 5,200 / mm^3 (5,000 to 10,000 / mm^3)
Sodium 148 mEq / L (136 to 145 mEq / L)

Transcript text: A nurse is reviewing the laboratory report of a client who has endstage kidney disease and received hemodialysis 24 hr ago. Which of the following laboratory values should the nurse report to the provider? Platelets $268,000 / \mathrm{mm}^{3}\left(150,000\right.$ to $\left.400,000 / \mathrm{mm}^{3}\right)$ Calcium $9.2 \mathrm{mg} / \mathrm{dL}$ ( 9 to $10.5 \mathrm{mg} / \mathrm{dL}$ ) WBC count $5,200 / \mathrm{mm}^{3}\left(5,000\right.$ to $\left.10,000 / \mathrm{mm}^{3}\right)$ Sodium $148 \mathrm{mEq} / \mathrm{L}(136$ to $145 \mathrm{mEq} / \mathrm{L})$

Solution

The laboratory value that the nurse should report to the provider is the sodium level of 148 mEq/L.

Explanation for each option:

Platelets 268,000/mm³ (150,000 to 400,000/mm³): This platelet count is within the normal range, so it does not need to be reported.
Calcium 9.2 mg/dL (9 to 10.5 mg/dL): This calcium level is within the normal range, so it does not need to be reported.
WBC count 5,200/mm³ (5,000 to 10,000/mm³): This white blood cell count is within the normal range, so it does not need to be reported.
Sodium 148 mEq/L (136 to 145 mEq/L): This sodium level is above the normal range, indicating hypernatremia, which can be a concern for a client with end-stage kidney disease. Therefore, this value should be reported to the provider.

In summary, the sodium level is the abnormal value that requires attention and should be reported to the healthcare provider.

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