A nurse is caring for a patient with newly diagnosed leukemia who is receiving chemotherapy for the first time. Twenty-four hours after the first dose of chemotherapy, the patient experiences...

A nurse is caring for a patient with newly diagnosed leukemia who is receiving chemotherapy for the first time. Twenty-four hours after the first dose of chemotherapy, the patient experiences decreased urine output, an abnormal heart rate, and lethargy. Which of the following laboratory results would help support the nurse’s suspicion for tumor lysis syndrome?

a. Serum calcium 13.0 mg/dL, potassium 3.5 mEq/L, magnesium 2.0 mg/dL

b. Potassium 2.0 mEq/L, phosphorous 3.0 mg/dL, calcium 6.0 mg/dL

c. Uric acid 4.0 mg/dL, creatinine 3.0

d. Uric acid 10.0 mg/dL, potassium 5.5 mEq/L, phosphorous 5.0 mg/Dl