The Patient Has Been Admitted with Hyperglycemic Hyperosmolar Nonketotic Syndrome

question 16

Multiple Choice

The patient has been admitted with hyperglycemic hyperosmolar nonketotic syndrome (HHNS) .Her blood glucose level is very high (880 mg/dl) on admission.The physician believes that her condition is the result of large amounts of glucose solutions administered intravenously (IV) during kidney dialysis.The nurse anticipates 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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Definitions:

Impaired Skin Integrity

A disruption in the normal structure and function of the skin, leading to an increased risk of injury or infection.

Nonblanchable Erythema

Reddening of the skin that does not lighten or turn white (blanch) when pressure is applied, often indicating stage I pressure injury.

Granulation Tissue

New vascular tissue formed on the surface of a healing wound, indicating the process of healing.

Abdominal Aortic Aneurysm

The enlargement or ballooning of the abdominal portion of the aorta, the major blood vessel supplying blood to the body, which can lead to rupture if untreated.