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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. UTIs typically start as an ascending infection from the urethra into the bladder, not descending.
B. UTIs, especially cystitis, are generally localized infections that do not stem from infections elsewhere in the body.
C. Urinary stasis (incomplete emptying of the bladder) can lead to bacterial growth, which is a common cause of cystitis.
D. While congenital strictures can predispose to infections by causing urinary stasis, they are not the primary cause in most cases of cystitis.
Correct Answer is C
Explanation
A. Metabolic alkalosis would show a high HCO₃ level and elevated pH, which is not seen here.
B. Respiratory alkalosis would present with decreased PaCO₂ and elevated pH.
C. Metabolic acidosis is indicated by a low HCO₃ level (below 22 mEq/L) and low pH, consistent with the given values.
D. Respiratory acidosis would present with elevated PaCO₂ and a low pH, not shown in these results.
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