A 54-year-old client is admitted for evaluation of excessive thirst and urination. The client reports drinking large amounts of water throughout the day and waking several times overnight to void. Physical assessment reveals dry mucous membranes and decreased skin turgor. Vital signs: BP 92/58 mm Hg, HR 112 bpm, RR 18/min, T 98.9°F (37.2°C). Urine output measured at 750 mL over the last hour; urine is pale and watery in appearance. Laboratory results are pending.
The nurse is reviewing the client’s intake assessment information to determine the priorities for their care.
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The nurse identifies [monitoring fluid balance / initiating IV fluid replacement / preparing the client for dialysis / encouraging fluid intake / administering a loop diuretic / providing a low-stimulation environment / monitoring serum sodium levels] , [monitoring fluid balance / initiating IV fluid replacement / preparing the client for dialysis / encouraging fluid intake / administering a loop diuretic / providing a low-stimulation environment / monitoring serum sodium levels] , and [monitoring fluid balance / initiating IV fluid replacement / preparing the client for dialysis / encouraging fluid intake / administering a loop diuretic / providing a low-stimulation environment / monitoring serum sodium levels] as immediate priorities for managing this client’s condition.
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