20717364
Description
Quiz by Esmeralda Espitia, updated more than 1 year ago
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Created by Esmeralda Espitia
over 5 years ago
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Question 1
Question
1. Which of the following patients is MOST LIKELY experiencing Hyperglycemic Hyperosmolar Nonketotic Syndrome based on their symptoms?
Answer
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A. A 72 year old with a health history of diabetes who has a blood glucose of 300 mg/dL and is complaining of thirst and frequent urination.
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B. A 66 year old with type I diabetes that has ketones present in their urine.
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C. A 69 year old admitted with an infection of the right foot with a health history of diabetes that reports missing several doses of Metformin and has a blood glucose of 600 mg/dL.
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D. A 6 year old that is presenting with polyuria, polydipsia, abdominal pain, and vomiting.
Question 2
Question
2. Which of the following is NOT a typical finding in HHNS?
Answer
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A. Dehydration
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B. Blood pH <7.35
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C. Mental status changes
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D. Osmotic diuresis
Question 3
Question
Treatment of Hyperglycemic Hyperosmolar Nonketotic Syndrome is similar to the treatment of Diabetic Ketoacidosis.
Answer
- True
- False
Question 4
Question
4. A patient is being discharged home after recovering from HHNS. Which statement by the patient requires patient re-education about this condition?
Answer
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A. “I will monitor my blood glucose levels regularly.”
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B. “This condition happens suddenly without any warning signs.”
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C. “If I become sick I will monitor my blood glucose more frequently and drink lots of fluids.”
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D. “It is important I take my medication as prescribed.”
Question 5
Question
DKA and HHNS mainly occur in type 2 diabetics.
Answer
- True
- False
Question 6
Question
Hypertonic fluids, such as 3% saline, are the first line of treatment to correct dehydration in HHNS.
Answer
- True
- False
Question 7
Question
7. Which of the following statements is INCORRECT about Hyperglycemic Hyperosmolar Nonketotic Syndrome?
Answer
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A. HHNS occurs mainly in type 2 diabetics.
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B. This condition presents without ketones in the urine.
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C. Metabolic alkalosis presents in severe HHNS.
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D. Intravenous Regular insulin is used to treat hyperglycemia.
Question 8
Question
8. A patient undergoing treatment for Hyperglycemic Hyperosmolar Nonketotic Syndrome has a blood glucose of 799. The doctor has ordered intravenous fluids and intravenous Regular insulin therapy. Which of the following findings causes concern before starting insulin therapy?
Answer
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A. Regular insulin cannot be given intravenously; therefore, the nurse needs to clarify the doctor’s order.
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B. The patient’s potassium level is 3.1.
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C. The patient is complaining of severe thirst and has dry mucous membranes.
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D. The patient is confused and drowsy.
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