An older adult patient with type 2 diabetes is brought to the emergency department by his daughter. The patient is found to have a blood glucose level of 623 mg/dL. The patients daughter reports that the patient recently had a gastrointestinal virus and has been confused for the last 3 hours. The diagnosis of hyperglycemic hyperosmolar syndrome (HHS) is made. What nursing action would be a priority?

A) Administration of antihypertensive medications
B) Administering sodium bicarbonate intravenously
C) Reversing acidosis by administering insulin
D) Fluid and electrolyte replacement


Answer: D) Fluid and electrolyte replacement

Nursing

You might also like to view...

An ancestry approach to a literature search involves using the bibliography of one study to find other, similar studies done earlier

A) True B) False

Nursing

A patient newly diagnosed with heart failure is admitted to the hospital. The nurse notes a pulse of 90 beats per minute. The nurse will observe this patient closely for:

a. decreased urine output. b. increased blood pressure. c. jugular vein distension. d. shortness of breath.

Nursing

The nurse smells smoke down a hallway and finds a small fire in the trash basket in a patient's bathroom. The first best action by the nurse is to:

a. Remove the patient from the room. b. Attempt to extinguish the fire. c. Close all doors and windows. d. Close the door to the hallway.

Nursing

The nurse is caring for a patient who is immobile and needs to be turned every 2 hours. The patient has poor lower extremity circulation, and the nurse is concerned about irritation of the patient's toes. One strategy that the nurse could use is

a. A foot cradle. b. A trochanter roll. c. The trapeze bar. d. Hand rolls.

Nursing