The nurse is caring for an older adult client diagnosed with chronic kidney disease. The client reports no bowel movement in the past 2 days
Based on this data, which condition is the client at an increased risk for developing?
A) Metabolic acidosis
B) Hypercalcemia
C) Increased serum creatinine levels
D) Hyperkalemia
Answer: D
Constipation exacerbates hyperkalemia, and it is important to monitor CRF clients who already have impairment of potassium. Hypokalemia is not affected by constipation. Metabolic acidosis and serum creatinine levels may not directly correlate with a decrease in the glomerular filtration rate in the elderly and are not directly affected by constipation.
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