Which of the following clinical assessment findings is most likely seen in a client experiencing hyperkalemia as a result of adrenal insufficiency?
1. Dry, sticky tongue
2. Increased anxiety
3. Nausea and vomiting
4. Decreased bowel sounds
ANS: 2
Physical examination of a hyperkalemic client may reveal anxiety, dysrhythmias, paresthesia, weakness, abdominal cramps, and diarrhea. The remaining options are examples of hyper-natremia, hyponatremia, and hypokalemia.
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