Question 1
The nurse is comparing diabetic ketoacidosis (DKA) to hyperglycemic hyperosmolar nonketotic syndrome (HHNS). What should the nurse identify as the main difference between the two disorders?
◦ No insulin is present in DKA, whereas some insulin is present in HHNS.
◦ DKA and HHNS are caused by too much insulin in the body.
◦ Dehydration is greater or more severe in DKA than in HHNS.
◦ DKA results in metabolic acidosis; HHNS results in metabolic alkalosis.
Question 2
The nurse cares for a patient with hyperglycemic hyperosmolar nonketotic syndrome (HHNS). What should the nurse realize is a precipitating factor for this health problem?
◦ Skipping meals, especially during illness
◦ Taking too much insulin during illness
◦ Certain antibiotics that can induce HHNS in those with type 2 diabetes
◦ Poor compliance to medical therapy
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