Questions: Which patient would the nurse monitor for the development of hypokalemia? Select all that apply. One, some, or all responses may be correct. Patient with adrenal insufficiency Patient with end-stage renal disease Patient with diarrhea Patient with vomiting Patient using potassium-wasting diuretics

The patients the nurse would monitor for the development of hypokalemia are:

• Patient with diarrhea
• Patient with vomiting
• Patient using potassium-wasting diuretics

Explanation for each option:

1. Patient with adrenal insufficiency: This condition is typically associated with hyperkalemia (high potassium levels) due to decreased aldosterone production, which leads to less potassium being excreted by the kidneys. Therefore, this patient is not likely to develop hypokalemia.

2. Patient with end-stage renal disease: Patients with end-stage renal disease often have difficulty excreting potassium, leading to hyperkalemia rather than hypokalemia. Thus, this patient is not typically at risk for hypokalemia.

3. Patient with diarrhea: Diarrhea can lead to significant loss of potassium through the gastrointestinal tract, increasing the risk of hypokalemia. Therefore, this patient should be monitored for hypokalemia.

4. Patient with vomiting: Vomiting can result in the loss of potassium from the body, as gastric fluids contain potassium. This makes the patient susceptible to hypokalemia, so monitoring is necessary.

5. Patient using potassium-wasting diuretics: These diuretics increase the excretion of potassium in the urine, which can lead to hypokalemia. Therefore, patients on these medications should be monitored for low potassium levels.

In summary, the nurse should monitor patients with diarrhea, vomiting, and those using potassium-wasting diuretics for the development of hypokalemia.