A patient with a history of diabetes is comatose. Which of the following assessment data would indicate that the patient is experiencing hyperglycemic hyperosmolar syndrome?
1. blood pH 7.29
2. blood pH 7.38
3. serum osmolality 300 mOsm/kg
4. patient age 28 years
2
Rationale: In hyperglycemic hyperosmolar syndrome, the blood pH is greater than 7.30. A blood pH of 7.29 would indicate diabetic ketoacidosis. A serum osmolality of 300 mOsm/kg and the patient age of 28 years would also be assessment data consistent with diabetic ketoacidosis.
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