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.

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Nursing
A useful resource related to this discussion: Overview of the Nursing Process [PDF, File Size 331 KB].

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:

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.
Base your initial post on your readings and research of this topic.Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

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