A patient taking ketoconazole (Nizoral)for the last 2 weeks has all of the following blood laboratory test values.Which value does the nurse report to the prescriber immediately?

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The WBC count,lactate dehydrogenase,and hematocrit values are abnormal; however,only the lactate dehydrogenase level is very high (three to four times normal).This value indicates liver impairment,which can be caused by taking ketoconazole.This value must be reported immediately so that liver function can be explored and any needed changes in drug therapy made before irreversible liver damage occurs.

A Patient Taking Ketoconazole (Nizoral)for the Last 2 Weeks Has