A Patient Has Been Admitted with Hyperglycemic Hyperosmolar Nonketotic Syndrome

question 9

Multiple Choice

A patient has been admitted with hyperglycemic hyperosmolar nonketotic syndrome (HHNS) .The blood glucose level is very high (880 mg/dL) on admission.The physician believes that the condition is the result of large amounts of glucose solutions administered intravenously (IV) during renal dialysis.What should the nurse anticipate that the patient would exhibit?

• A) Fruity breath and a high level of ketones in her urine
• B) Severe dehydration and hypernatremia caused by the hyperglycemia
• C) Exactly the same symptoms and signs as DKA
• D) Kussmaul respirations, nausea, and vomiting

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