Patient Data Exhibits here The nurse is reviewing the history and physical. Choose the most likely options for the information missing from the statement below by selecting from the list of options provided. Based on the client's subjective and objectives data, the nurse recognizes that she is having signs and symptoms of a .

Choice A rationale: Sinus tachycardia is not a cause, but a consequence of hyperkalemia. Choice B rationale: The client has a history of diabetes, hypertension, coronary artery disease, and end-stage renal disease, which are all risk factors for developing hyperkalemia (high levels of potassium in the blood). She also missed her scheduled dialysis session, which could have caused a buildup of potassium in her blood. Some of the signs and symptoms of hyperkalemia include fatigue, weakness, muscle cramps, tingling sensation in arms and legs, and cardiac arrhythmias such as sinus tachycardia (a fast heart rate). The other options are not consistent with the client's data or condition. Choice C rationale: Hypermagnesemia can also cause muscle weakness and cardiac arrhythmias, but they are less likely in this scenario since magnesium is not affected by dialysis Choice D rationale: Hypokalemia can also cause muscle weakness and cardiac arrhythmias, but they is less likely in this scenario since potassium is usually elevated in ESRD.