The Patient Has Been Admitted with Hyperglycemic Hyperosmolar Nonketotic Syndrome

The patient has been admitted with hyperglycemic hyperosmolar nonketotic syndrome (HHNS) .Her blood glucose level is very high (880 mg/dl) on admission.The physician believes that her condition is the result of large amounts of glucose solutions administered intravenously (IV) during kidney dialysis.The nurse anticipates that the patient would exhibit:

A) Fruity breath and a high level of ketones in her urine
B) Severe dehydration and hypernatremia caused by the hyperglycemia
C) Exactly the same symptoms and signs as DKA
D) Kussmaul respirations, nausea, and vomiting

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