A client is being treated for hyperglycemic-hyperosmolar state (HHS). Which clinical manifesta-tion indicates to the nurse that the therapy needs to be adjusted?
a. Serum potassium level has increased from 2.8 to 3.2 mEq/L.
b. Blood osmolarity has decreased from 350 to 330 mOsm.
c. Score on the Glasgow Coma Scale is un-changed from 3 hours ago.
d. Urine has remained negative for ketone bodies for the past 3 hours.
C
A slow but steady improvement in central nervous system (CNS) functioning is the best indicator of therapy effectiveness for HHS. Lack of improvement in level of consciousness may indicate inadequate rates of fluid replacement. The other assessment findings do not indicate adequacy of treatment.
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