You have been summoned for a diabetic patient with altered mental status. What sign would cause you to suspect that the patient is suffering from hyperosmolar hyperglycemic nonketotic syndrome (HHNS)?
A) Blood glucose level of 52 mg/dL
B) Inability to urinate
C) Complaint of thirst and dry mouth
D) Fruity smell on his breath
Question 2
Your patient is a 30-year-old pregnant woman at 36 weeks' gestation. She was injured in a fall from a horse and is complaining of painful contractions. Her abdomen is tender to palpation over the uterus, and the uterus becomes firm with contractions, but she denies vaginal bleeding. The patient is anxious, but her skin is warm and dry. Her blood pressure is 112/70, her heart rate is 92, and her respirations are 24. Which of the following statements best describes this situation?
A) The mechanism and patient complaints are suspicious for abruptio placentae. The mother's condition is not life threatening, but fetal demise has most likely already occurred.
B) The mechanism and patient complaints are consistent with placenta previa. The mother is stable, but the fetus is in jeopardy.
C) The mechanism and patient complaints are consistent with uterine rupture. Both the mother and fetus are in jeopardy.
D) The mechanism and patient complaints are suspicious for abruptio placentae. Both the mother and the fetus are in jeopardy.
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