Which of the following clients is at greatest risk for hyperglycemic hyperosmolar syndrome (HHS)?

88-year-old person with only Type 2 diabetes.

72-year-old person with Type 2 diabetes & COPD.

33-year old person with Type 1 diabetes.

56-year old person with only Type 2 diabetes.

Answer and Explanation

The Correct Answer is B

A.   Older adults, particularly those with Type 2 diabetes, are at increased risk for HHS due to factors such as decreased renal function, polypharmacy, and potential for dehydration. This patient's age and diabetes type make them susceptible, but we need to compare them with other options.
B.   COPD can lead to respiratory problems that may further complicate diabetes management. Additionally, older adults with chronic diseases often experience increased stress on their bodies, which can exacerbate hyperglycemia. The combination of age, diabetes, and a chronic respiratory condition increases the risk.
C.   While individuals with Type 1 diabetes can experience HHS, it is less common compared to those with Type 2 diabetes. This is primarily because people with Type 1 diabetes are more prone to ketoacidosis rather than HHS, especially if they are managing their insulin properly. Therefore, this individual is at a lower risk for HHS.
D.   This patient has Type 2 diabetes but lacks the additional risk factors (like older age or chronic illness) that would significantly elevate their risk for HHS compared to the other options. While they could develop HHS, they are not at the highest risk.

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 C

Explanation

A. While keeping the infant content is important for overall well-being, it's not the primary focus for eczema care.
B. Antibiotics are not typically used for eczema, as it's not a bacterial infection.
C. Eczema can cause the skin to become cracked and open, making it susceptible to infection. Therefore, preventing infection is a priority.
D. While good nutrition is important for overall health, it's not the primary concern in managing eczema

Correct Answer is ["4.5"]

Explanation

1 kilogram equals 2.2 pounds. The child weighs 20 pounds, which is approximately 9.09 kilograms (20 / 2.2).

The dosage prescribed is 10 mg/kg, so the child's dose is 90.9 mg (10 mg/kg * 9.09 kg).

Since the available medication concentration is 100 mg/5 mL, divide the dose needed by the concentration to find the volume to administer: 90.9 mg * (5 mL / 100 mg) equals 4.545 mL.

Rounded to the nearest tenth, the nurse should administer 4.5 mL of ibuprofen.

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

Which of the following clients is at greatest risk for hyperglycemic hyperosmolar syndrome (HHS)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning nursing care for a 3-month-old infant with eczema. What would be considered a priority intervention for this client?

Correct Answer is C

Explanation

The primary care provider has ordered ibuprofen 10 mg/kg every 8 hours as needed for fever. The child weighs 20 pounds. Available is 100 mg/5 milliliters (mL). How many mLs of ibuprofen should the nurse administer? Round to the nearest tenth.

Correct Answer is ["4.5"]

Explanation

A client with a severe corneal ulcer has an order for gentamycin ophthalmic solution 1 drop every 4 hours and neomycin ophthalmic solution 1 drop every 4 hours. Which of the following schedules should be used when administering the eye drops?

A patient has a respiratory rate of 36 breaths per minute. How would the nurse describe this respiratory pattern?

Which class of antimicrobials does not cause hepatotoxicity?

Which class of antihypertensive agents should be avoided by patients with asthma?

What findings on assessment would indicate to the nurse that a client has developed osteomyelitis 10 weeks after a right shoulder arthroplasty? (Select All that Apply.)

A newly diagnosed 8-year-old child with type I diabetes mellitus and his mother are receiving diabetes education prior to discharge. The physician has prescribed Glucagon for emergency use. The mother asks the purpose of this medication. Which of the following statements by the nurse is correct?

What is the primary clinical manifestation in a child with scabies?

A client with pneumonia receiving antibiotic therapy reports white, cheesy patches in the mouth. Which intervention should the nurse implement?