An elderly client being treated for type 2 diabetes mellitus begins to experience lethargy, weakness, and polyuria while recovering from cataract surgery
The nurse would suspect the client is developing hyperosmolar hyperglycemic nonketotic syndrome when which of the following is assessed? (Select all that apply.)
1. Blood glucose level 450 mg/dL
2. No ketones in the urine
3. Serum sodium 145 mEq/L
4. Serum osmolality 320 mOsm/kg
5. Blood pressure 120/68 mmHg
6. Heart rate 78 beats per minute
1, 2, 3, 4
Assessment findings consistent with hyperosmolar hyperglycemic nonketotic syndrome include a blood glucose level greater than 400 mg/dL, absence of ketones in the urine, serum sodium greater than 140 mEq/L, and serum osmolality greater than 310 mOsm/kg. The blood pressure of 120/68 mmHg is within normal limits. The heart rate of 78 beats per minute is within normal limits.
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A nurse is working with a patient using Freud’s stages of psychosocial development. Which behavior may indicate fixation of the anal stage?
Smoking Nail biting Preoccupation with rules Struggles with relationships