A client has been taking isoniazid (INH) for tuberculosis for 3 weeks. What laboratory results need to be reported to the health care provider immediately?
a. Albumin: 5.1 g/dL
b. Alanine aminotransferase (ALT): 180 U/L
c. Red blood cell (RBC) count: 5.2/mm3
d. White blood cell (WBC) count: 12,500/mm3
ANS: B
INH can cause liver damage, especially if the client drinks alcohol. The ALT (one of the liver enzymes) is extremely high and needs to be reported immediately. The albumin and RBCs are normal. The WBCs are slightly high, but that would be an expected finding in a client with an infection.
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