The following results occur on a patient's automated chemistries panel: serum sodium 138 mEq/L (normal: 135-145 mEq/L), potassium 5.2 mEq/L (normal: 3.5-5 mEq/L), chloride 102 mEq/L (normal: 98-106 mEq/L), calcium 8.2 mEq/L (normal: 8.7-9.2 mg/dL), phosphate 3.2 mg/dL (normal: 2.5-4.5 mg/dL), albumin 2.9 mg/dL (normal: 3.5-5 mg/dL). If the above patient's pH is normal, which of the following

might best explain the reason for the patient's calcium level?
a. Hypoalbuminemia.
b. A malignant tumor that has metastatized to the bone.
c. Hyperparathyroidism.
d. Use of phosphate binders.


a

Nutritional Science

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