A client in the later stages of chronic kidney disease (CKD) has hyperkalemia. With CKD, what other factors besides tissue breakdown can cause high potassium levels? Select all that apply.
1. Blood transfusions
2. Metabolic alkalosis
3. Bleeding or hemorrhage
4. Decreased sodium excretion
5. Ingestion of potassium in medications
6. Failure to restrict dietary potassium
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