Question 1
Which nursing diagnosis would be least appropriate when planning care for a patient with diabetic ketoacidosis (DKA) or hyperglycemic hyperosmolar nonketotic syndrome (HHNS)?
◦ Ineffective tissue perfusion RT hypovolemia and decreased peripheral blood flow
◦ Imbalanced nutrition, less than body requirements RT inability to utilize glucose
◦ Excessive fluid volume related to (RT) fluid shifts from hyperosmolarity
◦ Risk for infection RT increased blood glucose and decreased peripheral blood flow
Question 2
The nurse is caring for a patient in DKA with serum sodium of 130 and serum glucose of 600. After calculating the corrected serum sodium (CSS) [CSS = Serum Na
+ + {[(Serum glucose (mg/dL) - 100) / 100] × 1.6}], which intravenous fluid should the nurse plan to provide this patient?
◦ 0.9 NS
◦ 0.45 NS
◦ D5 1/2 NS
◦ Lactated Ringer's (LR)
Schematic of an automated external defibrillator (AED) attached to a patient.
Sodium Balance
Renal regulation of sodium and potassium balance
Patient teaching: vascular assessment
Summary of glucose oxidation.
The sodium–glucose cotransport channel