The nurse is monitoring the laboratory values of a patient with acute pancreatic dysfunction. Which of the following values would indicate further assessment by the nurse?
1. serum sodium level 143 mEq/L
2. serum potassium level 4.0 mEq/L
3. serum calcium level 8.0 mg/dL
4. hemoglobin level 13.5 mg/dL
3
Rationale: Hypocalcemia may develop as a result of fat necrosis because serum calcium migrates to the extravascular space surrounding the pancreas where the fat necrosis is taking place. The nurse should assess the patient further with the serum calcium level of 8.0 mg/dL. The other laboratory values are within normal limits.
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