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A 23-year-old presents at the emergency department reporting frequent urination and excessive thirst. Client states, “I have to go the bathroom at least every hour and I’m so thirsty that I’m drinking over 5 L of water every day.”

Assessment findings:

Heart rate: 86 bpm

Respiratory rate: 10 breaths/minute

Blood pressure: 108/70 mm Hg

Labs reveal:

Serum sodium: 148 mEq.

Serum osmolarity: 303 mOsm/L

Fasting glucose: 88 mg/dL

2 hour water deprivation test: urine osmolarity 70 mOsm/L; plasma osmolarity 325 mEq/L

client at risk until a diagnosis is made and treatment is initiated.

Potential Issues

Risk to Client

Seizures

 

Lethargy

 

Confusion

 

Diaphoresis

 

Tachycardia

 

Dehydration

 

Hypotension

 

Hyperthermia

 

Electrolyte imbalance

 

 

Item Type: Enhanced Drag and Drop

A 22-year-old female with no significant past medical history presented with symptoms of weight loss, insomnia, amenorrhea, and heat intolerance. The clinician ordered thyroid function tests including T3, T4, and TSH.

Lab work results:

Triiodothyronine (T3): 374.00 ng/dL (N = 80-220)

Thyroid-stimulating hormone (TSH): <0.018 U/mL (0.5-5.0) Thyroxine (T4): 18.2 μg/dL (N = 5.0-12.0) client at risk until a diagnosis is made and treatment is initiated. Potential Issues Risk to Client Insomnia   Infertility   Lethargy   Dyspnea   Tachycardia   Diaphoresis   Hyperthermia   Exophthalmia   Periorbital edema   Electrolyte imbalance   SCIENCE HEALTH SCIENCE NURSING NURS 20363