Q. A 42-year-old woman presents to her primary care physician with complaining of multiple paresthesia that started in her fingers and toes about 1 week ago. During the week, her symptoms have progressed to include bilateral paresthesia with muscle weakness in her lower legs. A nerve conduction study is performed and shows decreased nerve conduction velocities. As her disease progresses, which of the following acid-base disorders would she be expected to develop?