A nurse is admitting a client who reports anorexia and is experiencing malnutrition. Which of the following laboratory findings should the nurse expect to t to be altered?

A. Creatine kinase: This enzyme is primarily used to assess muscle injury or myocardial damage. Malnutrition does not directly affect creatine kinase levels, so alterations in this lab are not expected in this context. B. Troponin: Troponin is a cardiac-specific protein used to detect myocardial injury. Malnutrition does not typically cause changes in troponin levels, making it an unlikely finding in this client. C. Albumin: Albumin is a protein synthesized by the liver and reflects long-term nutritional status. Malnutrition and anorexia can lead to hypoalbuminemia, making decreased albumin levels a common laboratory finding in these clients. D. Total bilirubin: Total bilirubin measures the breakdown of red blood cells and liver function. While severe malnutrition can affect liver function indirectly, bilirubin levels are not a primary indicator of nutritional status and are less likely to be altered due to anorexia.