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

Choice D rationale

Potassium is the electrolyte that can cause fatal cardiac dysrhythmias in a client with chronic kidney disease. Hyperkalemia, or high levels of potassium in the blood, is a common electrolyte disorder in patients with advanced chronic kidney disease. It can lead to dangerous cardiac arrhythmias and is considered a medical emergency.

Choice A rationale

Pain during or after intercourse is a common symptom of endometriosis. The misplaced endometrial-like tissue can cause irritation and inflammation, leading to pain during or after sexual activity.

Choice B rationale

Pelvic pain is a primary symptom of endometriosis. The growth of endometrial-like tissue outside the uterus, particularly on structures within the pelvis, can lead to chronic pelvic pain. This pain may be cyclical (worsening around the menstrual period) or constant.

Choice C rationale

Urinary tract infection is not a direct clinical manifestation of endometriosis. While endometriosis can involve the urinary tract structures and cause urinary symptoms, it does not cause infections. Urinary tract infections are typically caused by bacteria, not by the presence of endometrial-like tissue.

Choice D rationale

Infertility is a potential complication of endometriosis. The presence of endometrial-like tissue can interfere with the normal function of the reproductive organs, leading to difficulties in achieving pregnancy. Approximately 30-50% of women with endometriosis may experience infertility.

Choice E rationale

Dysmenorrhea, or painful menstrual periods, is a common symptom of endometriosis. The pain is often described as far worse than typical menstrual cramps and may become more severe over time.