Which clinical manifestation indicates to the nurse that the therapy for the client with hyperglycemic, hyperosmolar, nonketotic syndrome (HHNS) needs to be adjusted?
A. The client's serum potassium level increased from 2.8 mEq/L to 3.2 mEq/L.
B. The client's blood osmolarity has decreased from 350 mOsm to 330 mOsm.
C. The client's score on the Glasgow Coma Scale is unchanged from 3 hours ago.
D. The client's urine has remained negative for ketone bodies for the past 3 hours.
C
A slow but steady improvement in CNS functioning is the best indicator of therapy effectiveness for HHNS. Lack of improvement in level of consciousness may indicate inadequate rates of fluid replacement.
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