Problem:
A 61-year-old male visits the emergency room complaining of "being sick with a cold" every 2 weeks for the prior three months. The client informs the nurse that their manifestations have included fevers, coughing, and postnasal drainage. The client also describes having fatigue and bone pain in his hips. The client's biochemistry results are presented below. Sodium 136mmol/L, potassium 4.3 mmol/L, glucose 5.5 mmol/L, creatinine 196 umol/L, total protein 89 g/L, CRP 56 mg/L, hemoglobin 102 g/L, hematocrit 0.34, WBC count 12 × 109/L, bence jones proteins positive. Determine the condition that is likely causing the client's abnormalities, and the appropriate management strategy that would be implemented. List the normal range for lab values included.