Pediatric Fluid and Electrolyte Imbalances · NCLEX Exam

Which factor in infants may contribute to a falsely elevated potassium reading when suspecting pseudohyperkalemia?

  1. A prolonged fasting state before the blood sample
  2. Small-needle draw with tissue squeezing causing hemolysis
  3. A completely normal glomerular filtration rate
  4. A persistently high urinary output before sampling
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Correct answer: Small-needle draw with tissue squeezing causing hemolysis

In children, particularly infants, hemolysis or tissue squeezing during small-needle draws can cause pseudohyperkalemia.

Difficulty: Medium Question 15 of 23

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