Which laboratory result would indicate a stable hematologic status for a client on DMARDs?

Which laboratory result would indicate a stable hematologic status for a client on DMARDs?

• A. Elevated liver enzymes
• B. Low platelet count
• C. Normal white blood cell, platelets, and neutrophils
• D. Elevated creatinine

Answer: (C)

Regular monitoring of blood counts is essential because DMARDs can affect bone marrow and blood cell production. A stable hematologic status is shown by a normal complete blood count, with white blood cells, platelets, and neutrophils within their reference ranges. Elevated liver enzymes point to hepatotoxicity, not hematologic stability. Low platelets indicate thrombocytopenia and potential marrow suppression. Elevated creatinine signals kidney impairment, another safety concern but not a measure of hematologic status. Therefore, the best indicator of hematologic stability on DMARDs is normal white blood cells, platelets, and neutrophils.

Regular monitoring of blood counts is essential because DMARDs can affect bone marrow and blood cell production. A stable hematologic status is shown by a normal complete blood count, with white blood cells, platelets, and neutrophils within their reference ranges. Elevated liver enzymes point to hepatotoxicity, not hematologic stability. Low platelets indicate thrombocytopenia and potential marrow suppression. Elevated creatinine signals kidney impairment, another safety concern but not a measure of hematologic status. Therefore, the best indicator of hematologic stability on DMARDs is normal white blood cells, platelets, and neutrophils.