A client diagnosed with hyperosmolar hyperglycemia nonketonic syndrome (HHNS) was admitted yesterday with a blood glucose level of 700 mg/dL. The clients blood glucose level is now 250 mg/dL. Which intervention should the nurse implement?

Check the client's urine for ketones.

Notify the healthcare provider to obtain order to decreased insulin

Increase the regular insulin drip

Provided client with a regular meal.

Answer and Explanation

The Correct Answer is B

A. Checking urine for ketones is more relevant in DKA, not HHNS, as HHNS typically does not involve ketone production.
B. When blood glucose drops significantly, insulin infusion rates are usually decreased to prevent hypoglycemia and a rapid fall in glucose levels.
C. Increasing the insulin drip could cause hypoglycemia, as the client’s glucose is already decreasing.
D. A regular meal can be given when the client’s glucose levels are more stable and controlled, but meal timing should be coordinated with insulin adjustments.

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Correct Answer is B

Explanation

A. PaO2 below 70 mm Hg may indicate hypoxemia, not necessarily metabolic acidosis.
B. A pH below 7.35 is indicative of acidosis, supporting a diagnosis of metabolic acidosis if other findings align.
C. An elevated PaCO2 suggests respiratory acidosis, not metabolic acidosis.
D. HCO3 above 26 mEq/L suggests metabolic alkalosis; in metabolic acidosis, HCO3 is typically low.

A. Monofilament testing B. Hearing (audio) exam C. Serum creatinine D. Urine for microalbumin E. Glycosylated hemoglobin A1C

Correct Answer is ["A","C","D","E"]

Explanation

A. Monofilament testing is recommended to assess for peripheral neuropathy, a common complication in diabetes.
B. Hearing exams are not specifically indicated as part of annual diabetes care.
C. Serum creatinine is monitored to assess kidney function, as diabetes can lead to kidney disease.
D. Testing urine for microalbumin detects early signs of kidney damage.
E. HbA1c provides information about long-term glucose control and is a key indicator in managing diabetes complications.

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A client diagnosed with hyperosmolar hyperglycemia nonketonic syndrome (HHNS) was admitted yesterday with a blood glucose level of 700 mg/dL. The clients blood glucose level is now 250 mg/dL. Which intervention should the nurse implement?

Nursing Test Bank

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A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see?

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