The nurse notes that a patient has an elevated lactate dehydrogenase,fragmented RBCs seen on microscopic examination,and low RBC count,hematocrit (Hct),and hemoglobin (Hgb)levels.For which health problem should the nurse consider planning care for this patient?

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In idiopathic autoimmune hemolytic anemia,the RBC count and Hgb and Hct levels are low,with fragmented RBCs and elevated lactate dehydrogenase because of RBC destruction and tissue ischemia.A.B.C.These manifestations are not seen in serum sickness,pernicious anemia,or hemolytic transfusion reactions.

The Nurse Notes That a Patient Has an Elevated Lactate