H. is a 71-year-old male with small cell lung cancer; he has been treated with

chemotherapy. Initially he had symptom improvement but now appears to have had a recurrence. On examination today, he is quite edematous and has gained 12 lbs since his office visit 1 week ago. A metabolic panel reveals a serum Na+ of 119 mEq/dL. The AGACNP knows that J. H. likely has:

A.Brain metastasis      B. Congestive heart failure (CHF)      C. Syndrome of inappropriate antidiuretic hormone (SIADH)      D.Metabolic alkalosis

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