Electrolyte Imbalance in Renal Disease · NCLEX Exam

Which electrolyte disturbance is least characteristic of renal failure?

  1. Hyperkalemia from impaired potassium excretion
  2. Hyperphosphatemia from phosphate retention
  3. Hypocalcemia from low vitamin D activation
  4. Isolated hypernatremia from increased urinary sodium loss
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Correct answer: Isolated hypernatremia from increased urinary sodium loss

In renal failure sodium excretion is reduced (not increased); hypernatremia from increased urinary sodium loss is less common than the other listed imbalances.

Difficulty: Medium Question 14 of 20

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