Analyze what is happening to this client, based on the client’s presenting symptoms and the nurse’s knowledge of fluid volume and balance. Explain what is occurring to the family in terms they will understand.

Case study
An 82-year-old female client lives in a residential elder care home. Her family has noticed the following gradually occurring over the past week: agitation, irritability, and confusion; muscle twitching of her extremities and she complains of being thirsty all the time even after drinking. They have noticed that her urinary catheter bag does not have as much fluid in it and she looks flushed at times. She has had frequent episodes of diarrhea. They also reviewed her medication profile and discovered she received two extra dosages of lactulose that were not ordered.
Analyze what is happening to this client, based on the client’s presenting symptoms and the nurse’s knowledge of fluid volume and balance. Explain what is occurring to the family in terms they will understand.
Please discuss all of your information, findings, and opinions with your other class Learners and Faculty Mentor.