HHS

Description

Adult health 2 test 2 Quiz on HHS, created by Esmeralda Espitia on 04/02/2020.
Esmeralda Espitia
Quiz by Esmeralda Espitia, updated more than 1 year ago
Esmeralda Espitia
Created by Esmeralda Espitia almost 5 years ago
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Resource summary

Question 1

Question
1. Which of the following patients is MOST LIKELY experiencing Hyperglycemic Hyperosmolar Nonketotic Syndrome based on their symptoms?
Answer
  • 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.
  • B. A 66 year old with type I diabetes that has ketones present in their urine.
  • 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.
  • 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
  • A. Dehydration
  • B. Blood pH <7.35
  • C. Mental status changes
  • 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
  • A. “I will monitor my blood glucose levels regularly.”
  • B. “This condition happens suddenly without any warning signs.”
  • C. “If I become sick I will monitor my blood glucose more frequently and drink lots of fluids.”
  • 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
  • A. HHNS occurs mainly in type 2 diabetics.
  • B. This condition presents without ketones in the urine.
  • C. Metabolic alkalosis presents in severe HHNS.
  • 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
  • A. Regular insulin cannot be given intravenously; therefore, the nurse needs to clarify the doctor’s order.
  • B. The patient’s potassium level is 3.1.
  • C. The patient is complaining of severe thirst and has dry mucous membranes.
  • D. The patient is confused and drowsy.
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