The nurse caring for a client reviews the medical record and determines the client is at risk for developing a potassium deficit because of which situation?

These are all signs and symptoms of hypokalemia, which is a condition where the blood potassium level is too low. This can affect the function of the muscles, nerves, and heart. Therefore, the nurse would expect to find these signs and symptoms in a client with dehydration and hypokalemia.

Choice C is wrong because hyperreflexia is not a sign or symptom of hypokalemia.

Hyperreflexia is a condition where the reflexes are exaggerated or overactive.

This can be caused by conditions such as spinal cord injury, stroke, or electrolyte imbalances such as hypocalcemia or hypomagnesemia.

A urinary tract infection (UTI) is a common complication after bladder cancer surgery, especially if the patient has an indwelling urinary catheter.

A UTI can cause symptoms such as fever, pain, burning or urgency when urinating, blood in the urine, or cloudy or foul-smelling urine.

Choice A is wrong because urinary retention (the inability to empty the bladder completely) is unlikely to occur with an indwelling catheter, which drains urine continuously.

Choice B is wrong because urinary incontinence (the loss of bladder control) is more likely to occur after partial or radical cystectomy, which remove part or all of the bladder, respectively.

In these cases, reconstructive surgery is needed to create a new way for urine to leave the body.

Choice D is wrong because urinary urgency (the sudden and strong need to urinate) is also more likely to occur after partial or radical cystectomy, which can affect the nerves and muscles that control urination.

Urinary urgency can also be a symptom of a UTI, but it’s not the only one.