Exam 14: Care of the Patient With Problems in Glucose Metabolism

When planning care for a patient in diabetic ketoacidosis (DKA) or hyperglycemic hyperosmolar nonketotic syndrome (HHNS), which goal should be included in the plan of care? Select all that apply.

The nurse explains the pathophysiology of hyperglycemic hyperosmolar nonketotic syndrome (HHNS) to a group of clients. Which statement should the nurse include when teaching about this health problem?

The nurse is caring for a patient in DKA with serum sodium of 130 and serum glucose of 600. After calculating the corrected serum sodium (CSS) [CSS = Serum Na⁺ + {[(Serum glucose (mg/dL) - 100) / 100] × 1.6}], which intravenous fluid should the nurse plan to provide this patient?

A patient is brought to the emergency department with manifestations of hyperglycemic hyperosmolar nonketotic syndrome (HHNS). What should the nurse assess to determine the patient's hydration status? Select all that apply.

The nurse identifies that a patient with type 2 diabetes mellitus is at risk for developing hyperglycemic hyperosmolar nonketotic syndrome (HHNS). Which health problem did the nurse identify in the patient? Select all that apply.

Which medications contribute to hyperglycemia in the patient with diabetes? Select all that apply.

The nurse plans to instruct a patient with type 1 diabetes mellitus on ways to prevent the onset of diabetic ketoacidosis (DKA). What should the nurse assess prior to teaching this patient? Select all that apply.

A patient with type 2 diabetes mellitus asks why hyperglycemic hyperosmolar nonketotic syndrome (HHNS) developed. After reviewing the patient's medical record, what should the nurse respond to this client? Select all that apply.

The nurse is comparing diabetic ketoacidosis (DKA) to hyperglycemic hyperosmolar nonketotic syndrome (HHNS). What should the nurse identify as the main difference between the two disorders?

A patient admitted with cellulitis has a hemoglobin A_1C level that revealed the patient's average blood sugars prior to admission were 300 mg/dL. The patient has been started on insulin in addition to oral diabetes medications. Which teaching point is essential for this patient to understand before discharge?

A patient is admitted with diabetic ketoacidosis. The nurse realizes that which problem caused the cascade to diabetic ketoacidosis (DKA) to occur?

A nurse caring for a patient with diabetic ketoacidosis (DKA) should evaluate the patient carefully for which potential complications? Select all that apply.

While recovering from injuries obtained in a motor vehicle crash, a patient with type 1 diabetes mellitus begins to demonstrate signs of developing diabetic ketoacidosis (DKA). What finding suggested to the nurse that the patient was developing DKA? Select all that apply.

The nurse caring for a patient weighing 80 kg is preparing an initial dose of insulin as beginning treatment for diabetic ketoacidosis. What are the appropriate dose and route for the nurse to administer the insulin?

A patient with type 1 diabetes who is ill seeks advice from the nurse. For which statement should the nurse encourage the patient to seek medical attention? Select all that apply.

The nurse cares for a patient with hyperglycemic hyperosmolar nonketotic syndrome (HHNS). What should the nurse realize is a precipitating factor for this health problem?

Which nursing diagnosis would be least appropriate when planning care for a patient with diabetic ketoacidosis (DKA) or hyperglycemic hyperosmolar nonketotic syndrome (HHNS)?

What increases the risk for seizures in a patient with diabetic ketoacidosis (DKA)?

Which type of insulin should the nurse administer for an intravenous bolus and continuous infusion to regulate a patient's blood glucose levels?

What should the nurse assess before beginning insulin therapy in a patient with hyperglycemic hyperosmolar nonketotic syndrome (HHNS)?