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

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

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