The nurse assesses a diabetic client and finds a blood sugar level of 280 mg/dl, low blood pressure, nausea and vomiting, and erratic pulse. The nurse would suspect the electrolyte abnor-mality of
a. hypermagnesemia.
b. hypernatremia.
c. hypocalcemia.
d. hypokalemia.
D
Electrolyte imbalances such as hyponatremia and hyperkalemia or hypokalemia accompany acute hyperglycemia, with clinical manifestations of nausea and vomiting, diarrhea, ectopic beats, and hypotension.
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