<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 44-year-old female presents to her primary care physician with complaints of headache, fatigue, muscle weakness, and frequent urination. These issues have developed and worsened over the past month. She has no significant prior medical or surgical history other than cholecystitis managed with cholecystectomy 5 years ago. Her vital signs at todays visit are as follows: T 37.1 C, HR 77, BP 15898, RR 12, and SpO2 99. Physical examination is significant for tetany, mild abdominal distension, reduced bowel sounds, and hypertensive retinal changes on fundoscopic exam. The physician orders a laboratory and imaging work-up based on his suspected diagnosis. An abdominal CT scan shows an 8 cm unilateral left adrenal mass suggestive of an adrenal adenoma. Which of the following sets of laboratory findings would be most likely in this patient?? A: Metabolic acidosis, hypernatremia, hyperkalemia, B: Metabolic acidosis, hyponatremia, hyperkalemia, C: Metabolic acidosis, hypernatremia, hypokalemia, D: Metabolic alkalosis, hypernatremia, hyperkalemia, E: Metabolic alkalosis, hypernatremia, hypokalemia,  <response>: This is a clinical case scenario describing a patient with symptoms and examination findings suggestive of hyperaldosteronism from an adrenal adenoma. The key findings are headache, fatigue, muscle weakness, frequent urination, tetany, abdominal distension, hypertensive changes, and a left adrenal mass on CT. Hyperaldosteronism from an adrenal adenoma leads to excess aldosterone production, which causes increased sodium and water reabsorption and potassium excretion by the kidneys. This leads to hypertension from volume expansion, metabolic alkalosis from the kidney compensating for the hypokalemia, hypernatremia from sodium retention, and hypokalemia from excess potassium loss in the urine.Therefore, the lab findings most consistent with the patients presentation are metabolic alkalosis, hypernatremia, and hypokalemia.E: Metabolic alkalosis, hypernatremia, hypokalemia 