Nurses’ Notes   11:30: Patient complains of a severe…

Nurses’ Notes   11:30: Patient complains of a severe headache and fatigue. States, “I just want to go sleep. I am so tired; I am having trouble reading my admission paperwork. My vision is so blurry.” Her only other complaint is thirst. Laboratory Report   Lab Results Reference range BUN 20  mg/dL 10-20 mg/dL Creatinine (Serum)        1.3 mg/dL 0.9 to 1.4 mg/dL Glucose        160 mg/dL 70-110 mg/dL Potassium(serum) 3.2 mEq/L 3.5 to 5 mEq/L Sodium (serum) 150 mEq/L 135 to 145 mEq/L Chloride (serum) 98 mEq/L 96 to 106 mEq/L        Cortisol         50 mcg/dL 5-25 mcg/dL Vital Signs Time 11:00 1130 Temp 98.2 F 98.2 F HR 110 111 RR 23 22 B/P 151/87 162/99 Pulse oximeter 94% on RA 95% on RA Pain 0/10 7/10 After the 11:30 assessment, what is the nurse’s priority action?

John Smith, A 52-year-old male patient with a history of hyp…

John Smith, A 52-year-old male patient with a history of hypertension and hyperlipidemia and recently diagnosed with a brain tumor is brought to the emergency department by their spouse with complaints of excessive thirst and urination. Nurses’ Notes   0900: Patient John Smith, accompanied by spouse presents with excessive thirst and urination. Wife states patient was up to bathroom urinating every hour last night.  Patient’s current medications are Lisinopril 10 mg po daily and rosuvastatin 10 mg po at bedtime. He has an appointment with oncologist next week for his newly diagnosed brain tumor.   Vital Signs     Time 0900     Temp 98.2 F     HR 98     RR 23     B/P 118/76     Pulse oximeter 97% on RA     Pain 0     Laboratory Report   Lab Results Reference range Cholesterol 299  mg/dL 240 mg/dL high BUN 20 mg/dL 10-20 mg/dL Creatinine (Serum)        1.3 mg/dL 0.9 to 1.4 mg/dL Glucose        120 mg/dL 70-110 mg/dL Potassium(serum) 3.9 mEq/L 3.5 to 5 mEq/L Sodium (serum) 150 mEq/L 135 to 145 mEq/L Chloride (serum) 98 mEq/L 96 to 106 mEq/L Serum Osmolality 310 mOsm/kg 275-295 mOsm/kg Urine specific gravity 1.001 usg 1.005-1.030 usg After reviewing Mr. Smith’s lab results and clinical presentation, which diagnosis would be appropriate?