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3099592 3099592
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A month ago
A client is diagnosed with hyperglycemic hyperosmolar state (HHS). Which initial collaborative management technique would the nurse expect to restore this client's intravascular fluid volume?
1. Encourage the client to drink water by keeping ice water at the bedside.
2. Offer the client milk or juice at least every hour.
3. IV infusion of D50.45%NS
4. IV infusion of 0.45% NS
Textbook 

High-Acuity Nursing


Edition: 6th
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kaarnold98kaarnold98
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A month ago
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The answer is 4
Rationale:
1. The client will be kept NPO until the crisis state is resolved.
2. The client will not be given glucose-containing fluids and will be kept NPO.
3. IV fluids containing dextrose are not initiated until the client's serum glucose level has dropped to approximately 200 mg/dL. Diagnosis of HHS is, in part, based on glucose levels exceeding 600 mg/dL.
4. Initial fluid replacement is achieved by infusion of 0.45% or 0.9% NS.
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