A client with chronic kidney disease (CKD) on hemodialysis reports muscle cramps and weakness. The nurse reviews the most recent lab results. Which electrolyte imbalance is most likely contributing to these symptoms?
✓ Correct Answer: Option B
Hypocalcemia is common in CKD due to impaired vitamin D activation and phosphate retention. Low calcium levels can lead to symptoms such as muscle cramps, spasms, and weakness.