Which of the following factors leads to electrolyte imbalance in a client with Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?

Choice A rationale

While insomnia can be a symptom of many conditions, it is not typically a clinical manifestation of chronic kidney disease (CKD).

Choice B rationale

Electrolyte imbalance is a common clinical manifestation of CKD. This is because the kidneys play a crucial role in maintaining electrolyte balance in the body, and this function can be impaired in CKD910111213.

Choice C rationale

Weight loss can occur in CKD, but it is not one of the most common clinical manifestations3.

Choice D rationale

A normal glomerular filtration rate (GFR) is not a clinical manifestation of CKD. In fact, a decreased GFR is one of the key indicators of CKD.

Choice D rationale

Heartburn is a primary symptom of gastroesophageal reflux disease (GERD), which occurs when stomach acid frequently flows back into the esophagus, causing irritation and discomfort (nih.gov, n.d.).

Choice A rationale

Crohn's disease is a type of inflammatory bowel disease that can cause symptoms like abdominal pain, diarrhea, and weight loss, but heartburn is not a typical symptom (Healthline, 2022).

Choice B rationale

Diverticulitis results from inflammation or infection of diverticula in the colon, leading to symptoms like abdominal pain, fever, and changes in bowel habits (nih.gov, n.d.).

Choice C rationale

Ulcerative colitis is another type of inflammatory bowel disease that causes inflammation and ulcers in the colon, resulting in bloody diarrhea and abdominal pain, but not typically heartburn (Healthline, 2022).