Which laboratory finding should be reported immediately for a client undergoing peritoneal dialysis?

Monitoring laboratory findings in clients undergoing peritoneal dialysis is crucial for their overall health and well-being. An elevated white blood cell (WBC) count, such as the value of 19,000 mm³, indicates the possibility of an infection, which can be a serious complication in patients receiving dialysis. In particular, peritoneal dialysis patients are at risk for peritonitis, an infection of the peritoneal cavity, which can lead to severe complications if not addressed promptly.

Recognizing that such an elevated WBC count suggests the body is responding to an infection, it becomes essential to report this finding immediately. Early identification and management of potential infections can prevent further deterioration of the patient’s condition and ensure timely intervention.

In contrast, the other laboratory findings mentioned are less urgent. A hemoglobin level of 10 mg/dL, while low, may not require immediate intervention depending on the overall clinical picture. A serum pH of 7.40 is within the normal range, suggesting adequate acid-base balance. A calcium level of 9.0 mg/dL is also within normal limits, indicating no immediate need for concern. Thus, the elevated WBC count stands out as the most pressing issue that necessitates immediate reporting and