A nurse is reviewing the laboratory results of a female client who has cirrhosis. Which of the following findings should the nurse identify as a complication?
Explanation & Rationale
A. Albumin 4.8 g/dL (3.5 g/dL to 5 g/dL): This albumin level is within the normal range and does not suggest a complication of cirrhosis. Cirrhosis often leads to low albumin levels, so a level of 4.8 g/dL is a positive finding and not indicative of a complication. B. WBC count 8,000/mm3 (5,000 to 10,000/mm3): This white blood cell count is within the normal range and does not suggest a complication. An elevated WBC count may occur in cirrhosis if there is an infection, but this value is within the normal range. C. Platelets 325,000/mm3 (150,000 to 400,000/mm3): This platelet count is also within the normal range. Cirrhosis typically causes a decrease in platelet count due to spleen enlargement (splenomegaly) or bone marrow suppression. D. RBC count 4 million/mm3 (4.2 to 5.4 million/mm3): This red blood cell count is lower than the normal range, which could indicate anemia, a common complication of cirrhosis. Anemia in cirrhosis can result from various factors, including chronic bleeding (such as from varices), poor nutrition, or bone marrow suppression.