Question

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

A 16-year-old boy arrived at the Emergency Department (ED) after collapsing during a 3-hour practice at summer football camp. The patient had the required physical examination prior to attending the camp, and there were no concerns or physical restrictions documented. He received intravenous (IV) fluids in the ambulance, and is awake upon arrival to the ED. He complains of thirst and dizziness. He has not voided since prior to practice, has dry mucous membranes and tenting. The patient’s pulse is 136 beats per minute, and blood pressure is 88/52 mm Hg. When questioned about the situation leading to his collapse, he states he forgot his water bottle in his room, and was very hot in the required gear. He felt thirsty, but thought he might be seen as weak if he complained to the coach.

Initial Discussion Post:

• In your nursing diagnosis book, refer to the NANDA-I definitions for the following nursing diagnoses:
  • Deficient Fluid Volume
  • Risk for Electrolyte Imbalance
    • Which of the two nursing diagnoses would be the priority for this patient?
    • Describe what data was clustered to determine the nursing diagnosis.

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.

Responses to Peers:

You are required to make two (2) responses to the initial posts of two (2) different peers.

Answer 1

Based on the NANDA -1 definition for the deficient fluid volume: decreased intravascular, interstital, and or intracellular fluid this refers to water loss alone without change in sodium. and definition of risk for electrolyte imbalance is serun concentrations of an electrolyte that are either higher or lower than normal her the nursing diagnosis would be the priority for the patient is deficient fluid volume, the data clustered to determine the diagnosis is the patient is having severe thirst and 3hr summer camp and is very hot and dry mucous membrane and tenting and it is the characteristis of the relatively severe dehydration and dehydraton means your body doesnt have enough water to carry out normal tasks and thirst is the main symptom and reasons may be exercise etc and too much sweating.