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NURSING

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A client is brought to the emergency department in an unresponsive state,

and a diagnosis of hyperosmolar hyperglycemic syndrome is made. The nurse would immediately prepare to initiate which anticipated health care provider's prescription?

2. 1.Endotracheal intubation a. unit s of

enous infusion of sodium bicarbon ate Intraveno

us infusion of normal saline

4. The primary goal of treatment in hyperosmolar hyperglycemic syndrome (HHS) is to rehydrate the

correct acidosis is avoided because it can precipitate a further drop in serum potassium levels. Intubation and mechanical ventilation are not required to treat HHS.

5. An external insulin pump is prescribed for a client with diabetes mellitus. When the client

asks the nurse about the functioning of the pump, the nurse bases the response on which information about the pump?

6. It is timed to release programmed doses of either short-duration or NPH insulin into the bloodstream at specific intervals.

continuous dose of short-duration insulin subcutaneously. The client can self- administer an additional bolus dose from the pump before each meal.

10. It administers a small continuous dose of short- duration insulin subcutaneously. The

client can self-administer an additional bolus dose from the pump before each meal.

11. An insulin pump provides a small continuous dose of short- duration (rapid- or short- acting) insulin subcutaneously throughout the day and night. The client can self-

emergency department. Which findings support this diagnosis? Select all that apply.

13. 1 .Incr ease in pH 2.C oma tose

state 3.D eep, rapi d brea thin g 4.D ecre ased urin e

rapi d brea thin g

16. 5.Elevated blood glucose level
17. Because of the profound deficiency of insulin associated with DKA, glucose cannot be used for energy and the

18. body breaks down fat as a secondary source of energy. Ketones, which are acid byproducts of fat metabolism, build up and the client experiences a metabolic ketoacidosis. High serum glucose contributes to an osmotic diuresis and the client becomes severely dehydrated. If untreated, the client will become

client will experience severe hyperglycemia. Option 1 is incorrect because in acidosis the pH would be low. Option 4 is incorrect because a high serum glucose will result in an osmotic diuresis and the client will experience polyuria.

19. The nurse teaches a client with diabetes

mellitus about differentiating between hypoglycemia and ketoacidosis. The client demonstrates an understanding of the teaching by stating that a form of glucose should be taken if which symptom or symptoms develop? Select all that apply.