Final answer:
In a patient with end-stage renal disease (ESRD), the nurse should closely monitor serum potassium and calcium levels to prevent complications associated with imbalances. Hemoglobin and serum albumin levels may also be affected, but they are not the primary laboratory results that require close monitoring.
Step-by-step explanation:
In a client with end-stage renal disease (ESRD), the nurse should closely monitor the serum potassium levels, as it is important to maintain normal potassium levels in the blood. ESRD affects the kidneys' ability to regulate potassium levels, and high levels of potassium can be dangerous and lead to cardiac arrhythmias. It is essential to monitor potassium levels carefully and take appropriate measures to manage them.
Serum calcium levels should also be closely monitored in clients with ESRD. The kidneys play a critical role in maintaining calcium balance in the body, and ESRD can disrupt this balance, resulting in abnormal calcium levels. Monitoring calcium levels is important for preventing complications such as bone disease and cardiovascular issues.
Although hemoglobin levels and serum albumin levels can be affected by ESRD, they may not be the primary laboratory results the nurse needs to closely monitor in this condition. Hemoglobin levels may be low due to anemia associated with ESRD, while serum albumin levels may be low due to impaired kidney function. However, potassium and calcium levels are more directly affected by ESRD and require closer monitoring.