Which client is at greatest risk for the development of hyperphosphatemia?
A. 27-year-old man undergoing chemotherapy for lymphoma
B. 45- year-old man taking Tums for chronic acid indigestion
C. 21-year-old man recovering from a fractured tibia that has been pinned
D. 36-year-old woman taking thyroid hormone replacement after a thyroidectomy
A
Treatment of some cancers, such as lymphomas, can result in such rapid destruction of cancer cells that massive amounts of intracellular contents are released into the blood. One of the intra-cellular contents is phosphorus. This rapid destruction of cancer cells causing hyperphosphatemia is called tumor lysis syndrome.
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