1 Day Of Fatigue in Medicine / Internal Medicine — 78yo Man | Nephrology | SMLE Q#18260
SMLE Question #18260
Medicine / Internal Medicine
Nephrology
Objective: OBJ-NEPH-EMERG-HYPERK-01
Last updated: February 2026
A 78-year-old man with type 2 diabetes mellitus, hypertension, and chronic kidney disease presents with 1 day of fatigue and nausea. He denies chest pain, dyspnea, or vomiting. Medications include insulin, lisinopril, amlodipine, erythropoietin, and vitamin D. He is drowsy but arousable, with no respiratory distress. What is the most appropriate next step in management?
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