The nurse is caring for a patient with hyperglycemic hyperosmolar nonketotic syndrome (HHNS). The nurse realizes that this health problem could develop because of:
1. Certain antibiotics that can induce HHNS in those with type 2 diabetes
2. Poor compliance to medical therapy
3. Skipping meals, especially during illness
4. Taking too much insulin during illness
2
Rationale 1: Antibiotics do not cause hyperglycemia.
Rationale 2: HHNS often does develop slowly from poor compliance to medical therapy. This is in contrast to DKA, which often develops rapidly.
Rationale 3: HHNS would be caused by missed medication, rather than by skipping meals, causing hyperglycemia.
Rationale 4: Taking additional insulin would cause hypoglycemia.
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A family member of a patient who is experiencing a severe manic episode asks the nurse why the patient is receiving an antipsychotic medication. The nurse informs the family member that antipsychotics are used in the treatment of severe manic episodes to do what?
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Test Result: Glucose Present
What will be an ideal response?