When planning care for a patient in diabetic ketoacidosis (DKA) or hyperglycemic hyperosmolar nonketotic syndrome (HHNS), which goals would be included in the plan of care? Note: Credit will be given only if all correct choices and no incorrect
choices are selected. Select all that apply. 1. Stabilize blood glucose levels to within normal limits.
2. Increase understanding of self-management to prevent future episodes.
3. Reestablish fluid balance through rehydration.
4. Restore A1C blood levels to at or above 8%.
5. Effectively treat the precipitating cause for DKA or HHNS.
1,2,3,5
Rationale 1:
Rationale 2: One goal is fewer occurrences of HHNS or DKA through self-management.
Rationale 3: Dehydration is prevalent due to the excessive glucose that causes severe diuresis. Fluid balance needs to be restored through fluid therapy.
Rationale 4: One goal is to keep the A1C below 6.5%.
Rationale 5: The cause of HHNS or DKA needs to be identified and treated.
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