A nurse is caring for four clients who have drainage tubes.
Which of the following clients should the nurse recognize as being at risk for hypokalemia?

Choice A rationale
Ceasing from smoking and consuming alcohol is crucial for patients who have been treated for acute pancreatitis. Both smoking and alcohol consumption can cause further damage to the pancreas and lead to recurrent episodes of pancreatitis.
Choice B rationale
While wearing tight-fitting clothing can be uncomfortable for some individuals, it does not have a direct impact on the recovery from acute pancreatitis.
Choice C rationale

Stopping exercise is not typically recommended for patients recovering from acute pancreatitis. Regular physical activity is generally beneficial for overall health, although a healthcare provider may recommend specific types or amounts of exercise based on the individual’s condition.
Choice D rationale
While practicing good dental hygiene is important for overall health, it does not specifically relate to the treatment or prevention of acute pancreatitis.

Choice A rationale
Patients with a nasogastric (NG) tube to suction are at risk for hypokalemia. Hypokalemia, or low potassium levels, can occur due to increased losses from the gastrointestinal tract, which can occur with NG tube suction. Potassium is an essential electrolyte that plays a vital role in many bodily functions, particularly in the heart and cardiovascular system. Therefore, any condition or intervention that leads to a significant loss of potassium, such as NG tube suction, can potentially lead to hypokalemia.
Choice B rationale

A tracheostomy tube attached to humidified oxygen is primarily used to help a patient breathe. It does not typically contribute to potassium loss or imbalance. Therefore, it is not likely to increase the risk of hypokalemia.
Choice C rationale
An indwelling urinary catheter to gravity drainage is used to drain urine from the bladder. While the kidneys do play a role in maintaining potassium balance, the use of a urinary catheter itself does not typically lead to significant potassium loss or increase the risk of hypokalemia.
Choice D rationale
A chest tube to water seal is used to remove air, fluid, or pus from the pleural space to help the lungs expand properly. It does not typically contribute to potassium loss or imbalance.
Therefore, it is not likely to increase the risk of hypokalemia.