The nurse is reviewing the client's current lab values. Which situation requires further evaluation?

A client diagnosed with pancreatitis with a serum lactose dehydrogenase (LDH) 400 IU/L (reference: 105-333 IU/L) and pain level of 7/10.

A client diagnosed with tuberculosis with an aminotransferase, aspartate (AST) level of 50 U/L (reference: 0-35 U/L) and dark urine.

A client diagnosed w pyelonephritis with a white blood cell count of 12,500/ml (reference: 5,000-10,000 U/L) and a fever of 101.0oF.

A client diagnosed with diabetic ketoacidosis and a pH level of 7.31 (reference: 7.35-7.45) and a glucose of 368 (reference: 70-110)