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 A
Explanation
A. Macrovascular angiopathy refers to damage in large and medium-sized vessels, which is associated with cerebrovascular, cardiovascular, and peripheral vascular disease in diabetic patients.
B. Diabetic nephropathy involves the kidneys, not the large or medium blood vessels.
C. Diabetic neuropathy affects nerves rather than blood vessels.
D. Microvascular angiopathy involves small vessels, typically affecting the eyes, kidneys, and nerves.
Correct Answer is D
Explanation
A. Urine-specific gravity provides information on the kidney's ability to concentrate urine but is not the most direct measure of renal function.
B. Blood urea nitrogen (BUN) can indicate kidney function but is influenced by factors other than kidney health, such as hydration status and protein intake.
C. Serum sodium levels are not a specific indicator of renal function and can vary based on many factors unrelated to kidney health.
D. Serum creatinine is the best indicator of renal function, as it is produced from muscle metabolism and cleared by the kidneys; elevated levels indicate decreased renal function.
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