The LPN is caring for a patient with ascites related to liver failure. The patient becomes hypotensive and complains of cramps. Which of the following is least likely related to the hypotension and cramps?

This patient is likely hypokalemic. For patients with ascites, the fluid collection leads to a decrease in renal blood flow, which stimulates aldosterone secretion, increasing potassium excretion. Recent diuretics can lead to additional potassium secretion. Excessive IV intake would be least likely related to hypokalemia.