When we change the concentration of ions in the serum, it will change the membrane potential of ALL cells.
Now, all things in the body are transient--there is always some Na entering the cell and some K leaving all to maintain this proper balance.
In the case of hyperkalemia--high concentrations of K in the serum would result in either less K leaving the cell (meaing more positive charges will be in the cell, depolarization) or addional K could enter the cell at high enough K serum concentrations and therefore add more positive charges in the cell and thus depolarize it.