DKA & HHS: What they are and are not!

Froggy Jumps

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Answer the following questions about DKA and HHS. You have 45 seconds to answer each question. There are 11 questions to answer. You can only get 5 answers incorrect. You can repeat the game as many times as you want. Good luck and have fun!

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Krystal

Estados Unidos

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DKA & HHS: What they are and are not!


Froggy Jumps DKA & HHS: What they are and are not!Versión en línea Answer the following questions about DKA and HHS. You have 45 seconds to answer each question. There are 11 questions to answer. You can only get 5 answers incorrect. You can repeat the game as many times as you want. Good luck and have fun! por Krystal 1 A 72-year-old patient with type 2 diabetes presents with blood glucose 720 mg/dL, serum osmolality 350 mOsm/kg, pH 7.32, and negative ketones. The client is lethargic and confused. What condition does the nurse suspect? a Diabetic ketoacidosis b Hyperosmolar hyperglycemia syndrome c Hyperglycemic-hyperosmolar ketoacidosis 2 A client with DKA is receiving IV insulin. The potassium level drops from 4.2 to 3.1 mEq/L. What is the priority nursing action? a Notify the provider and monitor ECG closely b Continue current treatment and recheck in 4 hours c Increase IV fluid rate 3 A client with HHS has received 3 liters of IV fluids. Blood glucose is now 240 mg/dL. What should the nurse anticipate? a Adding dextrose to IV fluids b Discontinuing all IV fluids c Increasing insulin infusion rate 4 The nurse assesses a client with suspected DKA. Which finding supports this diagnosis? a Slow, shallow respirations b Kussmaul respirations c Cheyne-Stokes respirations 5 A client presents with blood glucose 380 mg/dL, pH 7.25, bicarbonate 14 mEq/L, and large urine ketones. Which additional assessment finding confirms DKA? a Serum osmolality >340 mOsm/kg b Fruity odor on breath c Blood pressure 180/95 mmHg 6 Which precipitating factor is most commonly associated with both DKA and HHS? a Excessive insulin administration b Physical or emotional stress c Excessive carbohydrate intake 7 A client with undiagnosed diabetes presents to the ED. Lab results: glucose 290 mg/dL, pH 7.28, bicarbonate 15 mEq/L, moderate serum ketones. What diagnosis does the nurse suspect? a Diabetes mellitus 1 b Diabetes mellitus 2 c Gestational diabetes 8 An older adult with type 2 diabetes is taking corticosteroids for COPD exacerbation and develops severe hyperglycemia with altered mental status. Which complication is this client most at risk for developing? a Diabetic ketoacidosis b Hyperosmolar hyperglycemia syndrome c Lactic acidosis 9 A client admitted with DKA asks why they developed this condition. The patient reports running out of insulin 3 days ago. Which explanation by the nurse is most accurate? a "Your body stored excess glucose that suddenly released into your bloodstream." b "Without insulin, your body broke down fat for energy, producing ketones." c "Stress hormones caused your pancreas to stop working." 10 A client with DKA is receiving IV fluids at 200 mL/hr and insulin infusion. Current vital signs: BP 98/62, HR 102, urine output 45 mL/hr. Which assessment finding indicates treatment is effective? a Urine output 45 mL/hr b Blood pressure 98/62 mmHg c Heart rate 102 bpm 11 The nurse is monitoring a client with HHS receiving large-volume fluid replacement. Which finding requires immediate intervention? a Serum osmolality 310 mOsm/kg b Blood glucose 280 mg/dL c Crackles in bilateral lung bases

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DKA & HHS: What they are and are not!

Froggy Jumps

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DKA & HHS: What they are and are not!Versión en línea

por Krystal

A 72-year-old patient with type 2 diabetes presents with blood glucose 720 mg/dL, serum osmolality 350 mOsm/kg, pH 7.32, and negative ketones. The client is lethargic and confused. What condition does the nurse suspect?

A client with DKA is receiving IV insulin. The potassium level drops from 4.2 to 3.1 mEq/L. What is the priority nursing action?

A client with HHS has received 3 liters of IV fluids. Blood glucose is now 240 mg/dL. What should the nurse anticipate?

The nurse assesses a client with suspected DKA. Which finding supports this diagnosis?

A client presents with blood glucose 380 mg/dL, pH 7.25, bicarbonate 14 mEq/L, and large urine ketones. Which additional assessment finding confirms DKA?

Which precipitating factor is most commonly associated with both DKA and HHS?

A client with undiagnosed diabetes presents to the ED. Lab results: glucose 290 mg/dL, pH 7.28, bicarbonate 15 mEq/L, moderate serum ketones. What diagnosis does the nurse suspect?

An older adult with type 2 diabetes is taking corticosteroids for COPD exacerbation and develops severe hyperglycemia with altered mental status. Which complication is this client most at risk for developing?

A client admitted with DKA asks why they developed this condition. The patient reports running out of insulin 3 days ago. Which explanation by the nurse is most accurate?

A client with DKA is receiving IV fluids at 200 mL/hr and insulin infusion. Current vital signs: BP 98/62, HR 102, urine output 45 mL/hr. Which assessment finding indicates treatment is effective?

The nurse is monitoring a client with HHS receiving large-volume fluid replacement. Which finding requires immediate intervention?