Low-salt syndrome may be caused by:
  1. Extreme sodium restriction due to congestive heart failure
  2. Decreased glomerular filtration rate
  3. Adrenal gland insufficiency
  4. All of the above
Explanation
Answer: D - Low-salt syndrome is occasionally seen in individuals with congestive heart failure who are being treated with severe sodium restriction. It may also be caused by decreased glomerular filtration rate in renal disease, and by adrenal gland insufficiency, both of which affect the body’s ability to retain sodium.
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