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A nurse is caring for a client who has AKI. Which of the following serum lab findings should the nurse report to the provider?

A. Potassium 5 mEq/L
B. Calcium 9 mg/dL
C. Creatinine 4 mg/dL
D. Amylase 84 units/L

1 Answer

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Final answer:

A creatinine level of 4 mg/dL in a client with AKI is significantly higher than the normal range and indicates severe renal impairment, which needs to be reported to the healthcare provider.

Step-by-step explanation:

In the case of a client with acute kidney injury (AKI), the serum lab finding that should be reported to the provider is C. Creatinine 4 mg/dL. This value significantly exceeds the normal range of plasma creatinine, which is 0.8-1.2 mg/dl for males and 0.6-0.9 mg/dl for females, indicating impaired renal function.

The other values provided, such as Potassium 5 mEq/L and Calcium 9 mg/dL, are within normal ranges. Amylase at 84 units/L is also considered normal as it does not directly correlate with renal function. In contrast, a creatinine level of 4 mg/dL is much higher than the normal range and suggests severe renal impairment. This is a critical indicator of renal function and warrants immediate attention and action by the healthcare provider.

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