An older client is experiencing acute liver failure. Which laboratory findings are most closely related to this condition? Select all that apply.
1. Elevated INR
2. Decreased hematocrit and hemoglobin
3. Elevated serum ferritin
4. Decreased platelet count
5. Elevated white blood cell count
1. Elevated INR
3. Elevated serum ferritin
Explanation: 1. An elevated INR can be a direct result of acute liver failure due to the affected clotting pathway.
2. Red blood cell indices are affected by renal function. They are not affected by liver failure until the course is prolonged or chronic.
3. Acute liver failure caused by shock or hepatitis can cause an increase in serum ferritin level.
4. A decrease in platelets can be associated with chronic liver failure and cirrhosis.
5. While an infection could result in acute liver failure, the two are not always related.
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