The primary intervention for hyperglycemic hyperosmolar syndrome (HHS) is

a. rapid rehydration.
b. monitoring vital signs.
c. high-dose intravenous (IV) insulin.
d. hourly urine sugar and acetone testing.


A
The goals of medical management are rapid rehydration, insulin replacement, and correction of electrolyte abnormalities, specifically potassium replacement. The underlying stimulus of HHS must be discovered and treated. The same basic principles used to treat patients with diabetic ketoacidosis are used for patients with HHS.

Nursing

You might also like to view...

The nurse knows that a client with prolonged prothrombin time (PT) values (not related to medication) probably has dysfunction in which organ?

a. Kidneys b. Liver c. Spleen d. Stomach

Nursing

A client is scheduled to have a fundoplication. What statement by the client indicates a need to review preoperative teaching?

a. "After the operation I can eat anything I want." b. "I will have to eat smaller, more frequent meals." c. "I will take stool softeners for several weeks." d. "This surgery may not totally control my symptoms."

Nursing

The postanesthesia care nurse is evaluating the patient for possible transfer to the surgical unit. The following assessment would prevent the patient's transfer:

1. Blood pressure is 126/78 mm Hg. 2. Pulse rate is 82 beats per minute. 3. Pulse oximeter reading is 85%. 4. Respirations are 22 per minute.

Nursing

The nurse has received a report about a woman in labor. The woman's last vaginal ex-amination was recorded as 3 cm, 30%, and -2 . The nurse's interpretation of this assess-ment is that:

a. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm above the ischial spines. b. The cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above the ischial spines. c. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm be-low the ischial spines. d. The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 2 cm be-low the ischial spines.

Nursing