A 59-year-old client was admitted to the ER for diarrhea and weakness. She reports that the diarrhea is severe and watery.

A 59-year-old client was admitted to the ER for diarrhea and weakness. She reports that the diarrhea is severe and watery. She has occasional muscle twitching, which she has never experienced before. She has no nausea and vomiting and is alert and oriented x3. She has a past history of chronic kidney disease (CKD) which is well managed by diuretics, diet, and fluid restriction. Her heart rate is 59 and irregular. Her ECG shows tall peaked T waves, flat P waves, and widened QRS complexes. Lab values: Serum Sodium 145 mEq/L Serum Potassium 5.9 mEq/L Hemoglobin 11.0 g/dL Hematocrit 35% BUN 34 mg/dL Creatinine 2.8 mg/dL Post the following on the discussion board with rationales: What information in the summary is concerning? Of the information that is concerning, what is the top priority? What medical care will the nurse anticipate? What nursing interventions will the nurse anticipate?

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