Nursing assignment question

Electrolyte Imbalance

A 19-year-old female arrives at the Emergency Department (ED) after participating in a contest to drink the most water. She drank 5 liters of water in about 2 hours. 911 was called when the student reported a headache and was confused. Upon arrival to the ED, a nursing assessment was performed and laboratory tests ordered by the healthcare provider were obtained. The patient reports a headache, abdominal cramping, and has orthostatic hypotension. The following laboratory results are reported:

  • Sodium: 122 mEq/L
  • Potassium: 3.6 mEq/L
  • Calcium: 10 mg/dL
  • Magnesium: 2 mg/dL
  • Chloride: 100 mEq/L
  • Phosphate: 2 mEq/L

Initial Discussion Post:

  • Cluster and analyze the data in the scenario.
    • Determine the electrolyte imbalance.
    • As the RN monitoring this patient, what assessments will you perform for early recognition of potential problems?
    • Identify a nursing diagnosis with related factors, and defining characteristics (if appropriate).
    • Describe the analysis used and rationale for your choice.