A patient is brought to the emergency department with manifestations of hyperglycemic hyperosmolar nonketotic syndrome (HHNS)

Question

What will the nurse assess to determine the patient's hydration status? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Vision
2. Weight loss
3. Respiratory rate
4. Oxygen saturation level
5. Urine for ketones

Answer 1

1,2
Rationale 1: The patient in HHNS should be assessed for visual disturbances and blurred vision since these are signs of severe dehydration complicated by high blood osmolarity and high blood glucose.
Rationale 2: The patient in HHNS should be assessed for weight loss since this is a sign of severe dehydration complicated by high blood osmolarity and high blood glucose.
Rationale 3: The patient in HHNS will not have a change in respirations as a result of dehydration.
Rationale 4: The patient in HHNS will not have a change in oxygen saturation level as a result of dehydration.
Rationale 5: The patient in HHNS will not have ketones in the urines as a result of dehydration.