Hesi lpn exit proctored exam
A client receiving intravenous amphotericin B for treatment of a fungal infection. Which laboratory result is most important for the practical nurse (PN) to report to the healthcare provider? Reference range: Creatinine [0.6 to 1.2 mg/dL (53 to 106 μmol/L)] Hematocrit [42% to 52% (0.42 to 0.52 volume fraction)] Potassium [3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)] Platelets [150,000 to 400,000/mm3 (150 to 400 x 10L)]
Explanation & Rationale
A. Platelet count 150,000/mm³: Within normal range; no urgent need to report. B. Hematocrit 35%: Slightly low, but not the most critical value in this context. C. Potassium 3.5 mEq/L: At the lower limit of normal; monitor but not urgent. D. Creatinine 3.8 mg/dL: Amphotericin B is nephrotoxic; this elevated creatinine indicates severe kidney impairment and must be reported immediately.
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