A patient is admitted to the hospital with hyperosmolar hyperglycemia. The patient has a BG value of 987 mg/dL. Which is the priority focus while providing care?
Identifying age-related changes
Monitoring BG level
Establishing the presence of an illness
Improving hydration status
The Correct Answer is D
D. The priority focus in the acute management of hyperosmolar hyperglycemia is improving hydration status. Patients with HHS are severely dehydrated due to the osmotic diuresis caused by extremely high blood glucose levels. Rapid rehydration is critical to prevent shock, improve organ perfusion, and reduce blood glucose levels.
A. It's important to consider age-related changes in any patient but this is not the immediate priority in the acute management of hyperosmolar hyperglycemia. The primary concern is addressing the acute, life-threatening aspects of the condition.
B. Monitoring blood glucose levels is critical in managing hyperosmolar hyperglycemia. However, while it is essential to track the BG levels to guide insulin therapy and assess the response to treatment, it is not the immediate priority in terms of interventions needed to stabilize the patient initially.
C. Determining the underlying cause of hyperosmolar hyperglycemia, such as an infection or other illness, is important for comprehensive treatment. However, it is a secondary priority to stabilizing the patient’s current acute condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. The alveoli are tiny air sacs within the lungs where gas exchange occurs. Oxygen from inhaled air diffuses across the thin walls of the alveoli into the bloodstream, while carbon dioxide moves from the bloodstream into the alveoli to be exhaled.
A. The bronchi are the main airways that branch off from the trachea and lead to the lungs. While the bronchi play a crucial role in conducting air to and from the lungs, gas exchange does not occur in the bronchi themselves.
C. The nasal passages, also known as the nostrils or nares, are the passages through which air enters the respiratory system. While the nasal passages warm, humidify, and filter the air as it enters the body, gas exchange does not occur in this area.
D. The larynx, or voice box, is located at the top of the trachea and is involved in breathing, swallowing, and vocalization. However, gas exchange does not occur in the larynx.
Correct Answer is ["A","B","C","D"]
Explanation
HR: 110 bpm; regular - The heart rate has decreased from 115 bpm and is now regular, suggesting improved cardiac rhythm stability.
RR: 24 breaths/min; rapid, deep - The respiratory rate has decreased from 26 breaths/min, indicating less rapid breathing.
BP: 94/56 mm Hg - While the blood pressure remains relatively low, there is a slight improvement compared to the previous reading.
Glucose 460 mg/dl - The glucose level has decreased from 525 mg/dL and 530 mg/dL in previous readings. While still elevated, this indicates some improvement in hyperglycemia.
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