A 19-year-old female college student who is pledging a sorority arrives at the Emergency Department (ED) after participating in a contest to drink the most water.

A 19-year-old female college student who is pledging a sorority 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. The sorority sisters called 911 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 MD 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:

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• 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.