Final answer:
The nurse suspects that the hypertonicity is due to SIADH (syndrome of inappropriate ADH).
Step-by-step explanation:
The nurse taking care of the patient suspects that the hypertonicity is due to SIADH (syndrome of inappropriate ADH). In SIADH, the body retains too much water, leading to a decrease in plasma osmolality and an increase in urine osmolality. This causes an imbalance in solute concentration, resulting in hypertonicity.