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Hyperactive reflexes are not typically associated with hypokalemia. Hypokalemia, or low potassium levels in the blood, can cause muscle weakness, fatigue, constipation, and arrhythmia.

Extreme thirst is not a typical symptom of hypokalemia. It is more commonly associated with conditions such as diabetes.

Hyperactive bowel sounds are not typically associated with hypokalemia. In fact, constipation is a common symptom of this condition.

Occasional casts in the urine are not typically a cause for concern. Casts are tiny tube-shaped particles that can form due to kidney conditions, but occasional casts can be normal.

A pH of 5.0 is within the normal range for urine pH, which is typically between 4.6 and 8.0.
Therefore, this result would not typically need to be communicated to the provider.

Dark amber color of the urine can be a sign of dehydration, but it can also be influenced by certain foods, medications, and health conditions. It is not typically a result that needs to be communicated to the provider.

A sodium level of 165 mEq/L is higher than the normal range and could indicate that the body is still dehydrated.

A hematocrit of 62.5 is higher than the normal range and could suggest that the body is still dehydrated.

A potassium level of 3.2 mEq/L is lower than the normal range and could suggest that the body’s electrolyte balance has not yet been restored.

Irrigating the nasogastric tube with tap water is not recommended. Tap water is not sterile and can introduce bacteria into the stomach, potentially causing infection.

Marking abdominal girth once daily is not sufficient for a client who is postoperative following peritoneal lavage for peritonitis. This client is at risk for complications such as abscess formation and bowel obstruction, which can cause rapid changes in abdominal girth. Therefore, abdominal girth should be measured more frequently.

Ambulating the client twice daily is not appropriate in this case. The client has just undergone a major abdominal surgery and has a nasogastric tube and closed-suction drains in place. Early ambulation may not be feasible due to the risk of dislodging the drains or causing pain and discomfort.

Broth is a clear liquid that can help replace sodium and chloride lost through diarrhea. However, it does not contain the necessary amounts of other electrolytes such as potassium and bicarbonate, which are also commonly lost in diarrhea.

Apple juice is not a good choice for a child with acute diarrhea. It is high in sugars and can worsen diarrhea. It also does not contain the electrolytes needed to replace those lost through diarrhea.

Cherry gelatin is not a suitable choice. While it is a clear liquid that can help with hydration, it does not contain the necessary electrolytes to replace those lost through diarrhea. It is also high in sugars, which can worsen diarrhea.

Ground beef is not the best choice for a client learning about dietary choices. While it is a source of protein, it is also high in saturated fats, which can contribute to heart disease and other health problems. Choice B rationale
Raw vegetables are a good source of fiber and various vitamins and minerals. However, they should be washed thoroughly before consumption to remove any potential contaminants.

Fruit with the skin can be a good source of fiber and vitamins. However, like vegetables, they should be washed thoroughly before consumption.

A decrease in systolic blood pressure is not a physiological change that increases the risk of dehydration in older adults.

An increase in saliva production does not occur with aging and does not increase the risk of dehydration.

An increase in the percentage of body water does not occur with aging. In fact, total body water decreases with age, which can contribute to an increased risk of dehydration.