Electrolyte Imbalance in Renal Disease · NCLEX Exam

What is the most urgent electrolyte-related risk in a dialysis patient with peaked T waves on ECG and high serum potassium levels?

  1. Hypovolemia from fluid shifts
  2. Cardiac arrhythmia due to hyperkalemia
  3. Cerebral edema due to hypernatremia
  4. Bone demineralization due to hypocalcemia
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Correct answer: Cardiac arrhythmia due to hyperkalemia

Hyperkalemia is a life-threatening electrolyte disturbance in renal disease, risking fatal cardiac arrhythmias.

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