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A patient with type 2 diabetes mellitus, lethargy, and a blood glucose level of 650 mg/dL has been ...
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A patient with type 2 diabetes mellitus, lethargy, and a blood glucose level of 650 mg/dL has been ...
A patient with type 2 diabetes mellitus, lethargy, and a blood glucose level of 650 mg/dL has been diagnosed with hyperglycemic hyperosmolar syndrome. The nurse monitors this patient for the development of which complication?
1. Hyperkalemia
2. Seizures
3. Metabolic acidosis
4. Fluid volume overload
Textbook
High-Acuity Nursing
Edition:
6
th
Authors:
Wagner, Hardin-Pierce
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Rationale 1: HHS results in a substantial loss of electrolytes.
Rationale 2: HHS is associated with severe neurological changes secondary to profound dehydration.
Rationale 3: Acidosis is usually not seen with this type of diabetes because sufficient insulin is produced to prevent lipolysis and ketogenesis.
Rationale 4: HHS results is osmotic diuresis and resultant dehydration.
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rpaleo
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Your answer eliminated any doubt I had, thanks
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