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Chapter 21: Problem 78

The client is taking rosiglitazone (Avandia) for control of his diabetes. Which laboratory result should be reported to the physician? A. Blood glucose of \(110 \mathrm{mg} / \mathrm{dL}\) B. Creatinine level of \(3.0 \mathrm{mg} / \mathrm{dL}\) C. Blood urea nitrogen level of \(10 \mathrm{mg} / \mathrm{dL}\) D. White blood cell count of 8,000

Short Answer

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A. Blood glucose of 110 mg/dL B. Creatinine level of 3.0 mg/dL C. Blood urea nitrogen level of 10 mg/dL D. White blood cell count of 8,000 Answer: B. Creatinine level of 3.0 mg/dL should be reported to the physician.

Step by step solution

01

Evaluate diabetes control

First, look at the blood glucose level since it is the main focus in diabetes control. A. Blood glucose of \(110 \mathrm{mg} / \mathrm{dL}\): This is within the normal fasting blood glucose range of \(70-126 \mathrm{mg} / \mathrm{dL}\) and is not a concern.
02

Evaluate kidney function

Next, assess the client's kidney function as diabetes can cause kidney problems and some medications may have adverse effects on the kidneys. B. Creatinine level of \(3.0 \mathrm{mg} / \mathrm{dL}\): This value is higher than the normal range of \(0.6-1.2 \mathrm{mg} / \mathrm{dL}\) for men and \(0.5-1.1 \mathrm{mg} / \mathrm{dL}\) for women, indicating a potential issue with kidney function. C. Blood urea nitrogen level of \(10 \mathrm{mg} / \mathrm{dL}\): This is within the normal range of \(7-20 \mathrm{mg} / \mathrm{dL}\) and is not a concern.
03

Evaluate white blood cell count

Finally, check the client's immune function as some medications can suppress the immune system. D. White blood cell count of 8,000: This is within the normal range of \(4,500-11,000\) and is not a concern.
04

Determine which laboratory result should be reported

Among the given options, the only result that is abnormal and potentially concerning is the creatinine level of \(3.0 \mathrm{mg} / \mathrm{dL}\). This may indicate a problem with kidney function that requires the physician's attention. Answer: B. Creatinine level of \(3.0 \mathrm{mg} / \mathrm{dL}\) should be reported to the physician.

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