A nurse is providing care for a client who has hyperosmolar hyperglycemic syndrome (HHS). Which of the following is a clinical manifestation of HHS?

Insulin resistance

Metabolic acidosis

Hypervolemia

Ketosis

Answer and Explanation

The Correct Answer is A

A. Insulin resistance: HHS typically occurs in clients with type 2 diabetes who have some circulating insulin, but not enough to prevent severe hyperglycemia. Insulin resistance is a key feature, as it allows glucose levels to rise without triggering significant fat breakdown or ketone production.
B. Metabolic acidosis: Metabolic acidosis is more commonly seen in diabetic ketoacidosis (DKA) due to the accumulation of ketones. In HHS, acidosis is usually absent or only mild because fat breakdown is minimal.
C. Hypervolemia: HHS leads to profound dehydration due to osmotic diuresis caused by severe hyperglycemia. Clients are more likely to be hypovolemic rather than hypervolemic due to fluid losses.
D. Ketosis: Unlike DKA, HHS generally does not present with significant ketosis because the body retains enough insulin to prevent fat breakdown. The absence of ketosis is one of the key diagnostic differences between the two conditions.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Asthma: Although asthma can exacerbate respiratory symptoms, it is not the most common risk factor for emphysema. Emphysema primarily arises due to long-term exposure to irritants, such as tobacco smoke.
B. Smoking tobacco: Smoking is the most significant risk factor for emphysema. It leads to chronic inflammation in the lungs and damages the alveolar walls, resulting in the development of emphysema over time.
C. Pollution: While pollution can contribute to lung damage and respiratory issues, smoking tobacco is by far the most prevalent and direct cause of emphysema.
D. Between 20 to 30 years of age: Emphysema typically develops over many years of exposure to harmful substances like cigarette smoke. Age alone, particularly between 20 to 30 years, is not a primary risk factor for emphysema.

A. The client who is recovering from a recent illness that caused vomiting and c B. The client whose mother and uncle were diagnosed with this same condition C. The client who had a myocardial infarction and required stent placement. D. The client who is out of work and has been experiencing increased stress.

Correct Answer is C

Explanation

A. The client who is recovering from a recent illness that caused vomiting and dehydration: Although recent illness can increase the risk of various heart conditions, it does not place the client at the highest risk for developing atrial flutter compared to those with established cardiovascular disease.
B. The client whose mother and uncle were diagnosed with this same condition: Family history can increase the risk of atrial flutter, but it is less of a risk factor than existing heart disease.
C. The client who had a myocardial infarction and required stent placement: This client is at the highest risk due to the structural and electrical changes in the heart that occur following a myocardial infarction, making them more prone to atrial flutter.
D. The client who is out of work and has been experiencing increased stress: While stress can contribute to heart conditions, it is not a significant direct risk factor for atrial flutter when compared to prior heart events like a myocardial infarction.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is providing care for a client who has hyperosmolar hyperglycemic syndrome (HHS). Which of the following is a clinical manifestation of HHS?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is the most common risk factor for emphysema?

Correct Answer is B

Explanation

A nurse is teaching a group of clients about risk factors for developing atrial flutter. Which of the following clients should the nurse understand is at highest risk for developing atrial flutter?

Correct Answer is C

Explanation

A nurse is caring for a client who has had a traumatic fall. Which of the following interventions should the nurse implement first?

A nurse is reinforcing teaching to a group of high school students about how penetrating traumatic brain injuries cause damage to the brain. Which of the following statements should the nurse include in the teaching?

A nurse is caring for a client who has sickle cell anemia. The client asks, "Why do I feel so tired and fatigued all of the time?" Which of the following information should the nurse provide?

A nurse is educating a client who presents with a pulmonary embolism. Which of the following information should the nurse provide?

A nurse is caring for a client who has a pulmonary embolism. The nurse should identify that the release of inflammatory mediators leads to which of the following pathologic findings?

A nurse is caring for a client who has HIV and a CD4-T-cell count of 150/mm3. Which of the following conditions should the nurse monitor the client for?

A nurse is collecting neurologic data on a client who has a neurological injury and notes changes suggestive of Cushing's Triad. The nurse understands that Cushing's Triad is a nervous system response that might prevent which of the following conditions?