A patient has been admitted with hyperglycemic hyperosmolar nonketotic syndrome (HHNS). The blood glucose level is very high (880 mg/dL) on admission
The physician believes that the condition is the result of large amounts of glucose solutions administered intravenously (IV) during renal dialysis. What should the nurse anticipate 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 vo-miting
B
IV solutions containing glucose bypass the digestive system; consequently, the pancreas is not triggered to release insulin. However, just enough insulin is present to prevent the breakdown of fatty acids and the formation of ketones.
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